# SPINE INTERVENTION CLINIC, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Michael Bespaly, MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972789204
- **Authorized official:** MICHAEL BESPALY MD (PRESIDENT)
- **Authorized official phone:** (503) 742-0632

## Contact information

- **Practice address:** 512 7TH STREET, OREGON CITY, OR 97045-1853
- **Practice address phone:** (503) 742-0632
- **Practice address fax:** (503) 387-3106
- **Mailing address:** PO BOX 1836, OREGON CITY, OR 97045-0836
- **Mailing address phone:** (503) 742-0632
- **Mailing address fax:** (503) 387-3106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | MD20637 | OR | Yes |

## Other

- **Enumeration date:** 01/16/2008
- **Last updated:** 09/02/2016