institution
Northwest Pain Management Pc
Pain Clinic/Center in Medford, Oregon
NPI 1538219993

Northwest Pain Management Pc is a Pain Clinic/Center based in Medford, OR and is specialized in Pain. Northwest Pain Management Pc practices in Medford, OR. The NPI Number for Northwest Pain Management Pc is 1538219993 and holds a License No. 12880 (Oregon).

The current practice location address for Northwest Pain Management Pc is 1322 E Mcandrews Rd, Medford, OR and can be reached out via phone at 541-770-1650 and via fax at 541-773-2470.

Location: 1322 E Mcandrews Rd, Medford, OR, 97504-6177
institution
Provider Profile Details
NPI Number
1538219993
Provider Name
Northwest Pain Management Pc
Credential
Provider Entity Type
Organization
Address
1322 E Mcandrews Rd, Medford, OR, 97504-6177
Phone Number
541-770-1650
Fax Number
541-773-2470
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DD5160 01 OR RAILROAD MEDICARE
146753 01 OH OREGON WELFARE
institution
Provider Business Practice Location Address Details
Address
1322 E Mcandrews Rd
City
State
Zip
97504-6177
Phone Number
541-770-1650
Fax Number
541-773-2470
person
Provider Business Mailing Address Details
Address
1322 E Mcandrews Rd
City
State
Zip
97504-6177
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
Pain
Taxonomy
License No.
12880 (Oregon)
Definition
Definition to come...
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