Organization
NORTHWEST PAIN MANAGEMENT INC
Active
Other names
Intractable Pain Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JOHN PURTZER M.D. (PRESIDENT)
(541) 770-1650
Entity
Organization
Contact information
Practice address
897 ROYAL AVE, SUITE C, MEDFORD, OR 97504-6121
(541) 770-1650
(541) 773-2470
Mailing address
897 ROYAL AVE, SUITE C, MEDFORD, OR 97504-6121
(541) 770-1650
(541) 773-2470
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
12880
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146753
—
OR
01
—
DD5160
RAILROAD MEDICARE
OR
Enumeration date
11/21/2006
Last updated
08/22/2020
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