Willamette Pain & Spine Center PC

NPI #1114312451 in Clackamas, Oregon

Provider Information

NPI Number
1114312451
Entity Type
Organization
Organization Name
Willamette Pain & Spine Center PC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Apr 3, 2015
Last Updated
Jun 29, 2016

Practice Location

Address
10001 SE SUNNYSIDE RD STE 100A
State
Oregon
ZIP Code
97015-9728
Phone
(503) 343-9363

Authorized Official

Name
TAMMIE MISKIMINS
Title
MGR, LICENSING & THIRD PARTY
Phone
(817) 572-0009

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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