# SALEM PAIN AND SPINE SPECIALISTS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124316567
- **Authorized official:** CARLOS A MONREAL (BUSINESS MANAGER)
- **Authorized official phone:** (503) 967-6771

## Contact information

- **Practice address:** 1100 22ND ST SE, SALEM, OR 97302-6558
- **Practice address phone:** (503) 967-6771
- **Practice address fax:** (503) 385-8421
- **Mailing address:** 1100 22ND ST SE, SALEM, OR 97302-6558
- **Mailing address phone:** (503) 967-6771
- **Mailing address fax:** (503) 385-8421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2011
- **Last updated:** 11/27/2023