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Northwest Pain Management Inc
Medical Specialty Clinic/Center in Medford, Oregon
NPI 1104991405

Northwest Pain Management Inc is a Medical Specialty Clinic/Center based in Medford, OR and is specialized in Medical Specialty. Northwest Pain Management Inc practices in Medford, OR. The NPI Number for Northwest Pain Management Inc is 1104991405 and holds a License No. 12880 (Oregon).

The current practice location address for Northwest Pain Management Inc is 897 Royal Ave, Medford, OR and can be reached out via phone at 541-770-1650 and via fax at 541-773-2470.

Location: 897 Royal Ave, Medford, OR, 97504-6121
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104991405
Provider Name
Northwest Pain Management Inc
Credential
Provider Entity Type
Organization
Address
897 Royal Ave, Medford, OR, 97504-6121
Phone Number
541-770-1650
Fax Number
541-773-2470
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DD5160 01 OR RAILROAD MEDICARE
146753 05 OR
institution
Provider Business Practice Location Address Details
Address
897 Royal Ave
City
Medford
State
Oregon
Zip
97504-6121
Phone Number
541-770-1650
Fax Number
541-773-2470
person
Provider Business Mailing Address Details
Address
897 Royal Ave
City
Medford
State
Oregon
Zip
97504-6121
Phone Number
541-770-1650
Fax Number
541-773-2470
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
12880 (Oregon)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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