# OREGON PAIN ADVISORS, LLC

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

## Provider details

- **NPI number:** 1952794554
- **Authorized official:** MR. MARK GREGORY ALTENHOFEN M.S. (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (503) 915-2055

## Contact information

- **Practice address:** 140 S HOLLY ST, MEDFORD, OR 97501-3113
- **Practice address phone:** (541) 774-8241
- **Mailing address:** 3235 NW SALTZMAN RD, PORTLAND, OR 97229-3950
- **Mailing address phone:** (503) 915-2055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174H00000X | Health Educator | — | NULL | Yes |
| 174H00000X | Health Educator | — | — | Yes |
| 175T00000X | Peer Specialist | — | NULL | — |
| 175T00000X | Peer Specialist | — | — | — |

## Other

- **Enumeration date:** 03/06/2015
- **Last updated:** 03/06/2015