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Contact Information

OREGON PAIN CLINIC, LLC
11750 SW BARNES RD STE 270
PORTLAND, OR97225-5911
 Phone: 503-828-9569
 Fax: 503-828-9056
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for OREGON PAIN CLINIC LLC · (Female)

NPI # 1871976407
Status Active
Credentials
Entity Individual
Enumeration date 07/01/2015
Last updated 05/11/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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