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Contact Information

PAIN MANAGEMENT NORTHWEST, INC
350 MILLER ST SE # 100
SALEM, OR97302
 Phone: 503-371-4647
 Fax: 503-584-7856
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for PAIN MANAGEMENT NORTHWEST INC · (Female)

NPI # 1619178662
Status Active
Credentials
Entity Individual
Enumeration date 05/29/2007
Last updated 01/23/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR License # 088393-91
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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