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OREGON PAIN CLINIC LLC NPI 1871976407


NPI Information

NPI: 1871976407
Provider Name: OREGON PAIN CLINIC, LLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
11750 SW BARNES RD STE 270
PORTLAND, OR
ZIP 97225
Phone: (503) 828-9569
Get Directions

OREGON PAIN CLINIC, LLC is an interventional pain medicine pain medicine in Portland, OR. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. OREGON PAIN CLINIC, LLC NPI is 1871976407. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11750 SW BARNES RD STE 270
PORTLAND, OR
ZIP 97225-911
Phone: (503) 828-9569
Fax: (503) 828-9056

The provider's authorized official is Trevor D Jorgensen .
The authorized official title is Physician and has the following contact phone number (503) 828-9569.

The enumeration date for this NPI number is 7/1/2015 and was last updated on 5/11/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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