Northwest Pain Management Inc in Medford - Medical Specialty
Northwest Pain Management Inc - NPI 1104991405
Northwest Pain Management Inc is a Medical Specialty in Medford, Oregon. Northwest Pain Management Inc practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Northwest Pain Management Inc is 1104991405. The last update date is 2020-08-22.
Northwest Pain Management Inc's current location address is 897 Royal Ave, Medford, Oregon. You can contact this provider via phone number 5417701650 and fax number 5417732470. The mailing address for Northwest Pain Management Inc is 897 Royal Ave, Medford, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northwest Pain Management Inc |
|---|---|
| Address | 897 Royal Ave, Medford, Oregon |
| Phone Number | 5417701650 |
| Fax Number | 5417732470 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Purtzer John Thomas |
| Credentials | M.D. |
| Telephone Number | 5417701650 |
NPI Number Detail
| NPI Number | 1104991405 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 897 Royal Ave |
|---|---|
| City | Medford |
| State | Oregon (OR) |
| Post Code | 975046121 |
| Phone Number | 5417701650 |
| Fax Number | 5417732470 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | 12880 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DD5160 | OR | RAILROAD MEDICARE | |
| 146753 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Northwest Pain Management Inc by the Centers for Medicare & Medicaid Services?
The Northwest Pain Management Inc has been assigned the NPI (National Provider Identifier) 1104991405 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Northwest Pain Management Inc is physically located?
The Northwest Pain Management Inc is situated at the following address: 897 Royal Ave, Medford, OR 975046121.
What is Northwest Pain Management Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Northwest Pain Management Inc's area of specialization is Medical Specialty, and the corresponding taxonomy code that categorizes this field of practice is 261Qm2500X.
On what date was the 1104991405 assigned to Northwest Pain Management Inc?
The Northwest Pain Management Inc was issued its 1104991405 on 2006-11-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Northwest Pain Management Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Northwest Pain Management Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.