# PAIN SOLUTIONS PHYSICAL THERAPY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1871247338
- **Authorized official:** JASON GOUGH DPT (OWNER)
- **Authorized official phone:** (503) 385-8026

## Contact information

- **Practice address:** 2416 13TH ST SE STE B, SALEM, OR 97302-2546
- **Practice address phone:** (503) 894-2826
- **Practice address fax:** (949) 862-5129
- **Mailing address:** 1050 E FLAMINGO RD STE 228, LAS VEGAS, NV 89119-7435
- **Mailing address phone:** (833) 764-0178
- **Mailing address fax:** (949) 276-5401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/03/2022
- **Last updated:** 02/22/2022