PACIFIC SPORTS AND INTERVENTIONAL SPINE, LLC
Organization (NPI-2)
Active
Pain Medicine, Interventional Pain Medicine
Provider Information
- NPI Number
1881186336- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2445 BEVERLY ST STE B, SPRINGFIELD, OR, 974771910
- Phone
- (541) 686-3791
- Fax
- (541) 686-3795
Specialties & Taxonomies
Pain Medicine, Interventional Pain Medicine
Primary License: OR #MD27887
Pain Medicine, Interventional Pain Medicine
License: OR #MD28629
Physician Assistant
License: OR #PA00800
Physician Assistant
License: OR #PA00420
Physician Assistant
License: OR #PA152998