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Organization
OREGON PAIN ADVISORS, LLC
Active
Organization
OREGON PAIN ADVISORS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK GREGORY ALTENHOFEN M.S. (CHIEF EXECUTIVE OFFICER)
(503) 915-2055
Entity
Organization
Contact information
Practice address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 774-8241
Mailing address
3235 NW SALTZMAN RD, PORTLAND, OR 97229-3950
(503) 915-2055
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
NULL
174H00000X
Health Educator
Primary
—
—
175T00000X
Peer Specialist
—
NULL
175T00000X
Peer Specialist
—
—
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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