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Organization
NORTHWEST PAIN MANAGEMENT INC
Active
Organization
NORTHWEST PAIN MANAGEMENT INC
Active
Other names
Intractable Pain Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JOHN PURTZER M.D. (PRESIDENT)
(541) 770-1650
Entity
Organization
Contact information
Practice address
897 ROYAL AVE, SUITE C, MEDFORD, OR 97504-6121
(541) 770-1650
(541) 773-2470
Mailing address
897 ROYAL AVE, SUITE C, MEDFORD, OR 97504-6121
(541) 770-1650
(541) 773-2470
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
12880
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146753
—
OR
01
—
DD5160
RAILROAD MEDICARE
OR
Enumeration date
11/21/2006
Last updated
08/22/2020
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