# OREGON INTERVENTIONAL PAIN CONSULTANTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oregon Interventional Pain Consultants, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114372653
- **Authorized official:** DR. STUART ROSENBLUM MD, PHD (OWNER)
- **Authorized official phone:** (503) 477-5205

## Contact information

- **Practice address:** 1849 NW KEARNEY ST, SUITE 201, PORTLAND, OR 97209-1453
- **Practice address phone:** (503) 477-5205
- **Mailing address:** 1849 NW KEARNEY ST, SUITE 201, PORTLAND, OR 97209-1453
- **Mailing address phone:** (503) 477-5205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MD13567 | OR | Yes |

## Other

- **Enumeration date:** 05/03/2016
- **Last updated:** 06/07/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 284083 | — | OR |