# ANDERSON NEUROLOGICAL PAIN SOLUTIONS LLC

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

## Provider details

- **NPI number:** 1538565015
- **Authorized official:** DR. GINA ANDERSON DO (PHYSICIAN)
- **Authorized official phone:** (541) 760-9644

## Contact information

- **Practice address:** 2211 NW PROFESSIONAL DR, CORVALLIS, OR 97330-3891
- **Practice address phone:** (541) 760-9644
- **Mailing address:** 2211 NW PROFESSIONAL DR, CORVALLIS, OR 97330-3891
- **Mailing address phone:** (541) 760-9644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | DO159457 | OR | Yes |

## Other

- **Enumeration date:** 11/11/2014
- **Last updated:** 11/11/2014