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Organization
PAIN GPS CLINIC, LLC
Active
Organization
PAIN GPS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY SCOTT JOHNSTON (CFO)
(702) 339-8602
Entity
Organization
Contact information
Practice address
1605 OAK ST, EUGENE, OR 97401-4022
(541) 246-3400
(541) 246-3421
Mailing address
2852 WILLAMETTE ST STE 400, EUGENE, OR 97405-8200
(541) 246-3400
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
251F00000X
Home Infusion Agency
—
—
363A00000X
Physician Assistant
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500675843
—
OR
05
—
500758665
—
OR
05
—
500851091
—
OR
Enumeration date
03/20/2020
Last updated
05/21/2025
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