Pacific Sports and Interventional Spine, Llc-P

NPI #1215898564 in Sutherlin, Oregon

Provider Information

NPI Number
1215898564
Entity Type
Organization
Organization Name
Pacific Sports and Interventional Spine, Llc-P
Primary Specialty
Pain Medicine - Interventional Pain Medicine
Enumeration Date
Nov 18, 2025
Last Updated
Nov 18, 2025

Practice Location

Address
123 PONDEROSA DR
State
Oregon
ZIP Code
97479-9812
Phone
(541) 543-2323

Authorized Official

Name
KRISTIN BUNCH
Title
DIRECTOR OF CONTRACTING/CRED
Phone
(503) 953-0357

Specialties & Taxonomy Codes

Specialty
Pain Medicine - Interventional Pain MedicineInterventional Pain Medicine

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