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Organization
OREGON TRAIL HEALTH CARE
Active
Organization
OREGON TRAIL HEALTH CARE
Active
Other names
PCA Pain Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROB MILLER (FRANCHISEE)
(800) 909-9220
Entity
Organization
Contact information
Practice address
1693 SW CHANDLER AVE, 260, BEND, OR 97702-3236
(800) 909-9220
(801) 665-1882
Mailing address
1693 SW CHANDLER AVE, 260, BEND, OR 97702-3236
(800) 909-9220
(801) 665-1882
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
07/29/2011
Last updated
06/11/2012
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