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Contact Information

KLAMATH PAIN CLINIC PC
2301 MOUNTAIN VIEW BLVD
STE B
KLAMATH FALLS, OR97601
 Phone: 541-882-2023
 Fax: 541-884-5681
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KLAMATH PAIN CLINIC PC

NPI Number 1205933819
LBN Legal business name KLAMATH PAIN CLINIC PC
Authorized official BARBARA GILBERTSON - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/19/2006
Last updated 09/26/2007 - About 19 years ago
Identifiers
OR License # DO15593
OR Medicaid R116706
OR Other 205807 OMAP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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