Pacific Spine Specialists, LLC

NPI #1740311679 in Tualatin, Oregon

Provider Information

NPI Number: 1740311679
Entity Type: Organization
Organization Name: Pacific Spine Specialists, LLC
Primary Specialty: Specialist
Enumeration Date: Mar 9, 2007
Last Updated: Jun 25, 2010

Practice Location

Address: 19260 SW 65TH AVE STE 270
City: Tualatin
State: Oregon
ZIP Code: 97062-5705
Phone: (503) 885-9391

Authorized Official

Name: MS. FAYE L KAISER
Title: BOOKKEEPER
Phone: (503) 783-0201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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