# NORTHWEST NEUROSPINE INSTITUTE, LLC

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

## Provider details

- **NPI number:** 1982644761
- **Authorized official:** MR. JAMES H COBB (MANAGER)
- **Authorized official phone:** (541) 431-0665

## Contact information

- **Practice address:** 74B CENTENNIAL LOOP, SUITE 200, EUGENE, OR 97401-2451
- **Practice address phone:** (541) 393-0925
- **Practice address fax:** (541) 393-0914
- **Mailing address:** 74B CENTENNIAL LOOP, SUITE 200, EUGENE, OR 97401-2451
- **Mailing address phone:** (541) 393-0925
- **Mailing address fax:** (541) 393-0914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 071578 | OR | Yes |

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 06/23/2008
