Organization
OREGON INTERVENTIONAL PAIN CONSULTANTS, LLC
Active
Other names
Oregon Interventional Pain Consultants, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART ROSENBLUM MD, PHD (OWNER)
(503) 477-5205
Entity
Organization
Contact information
Practice address
1849 NW KEARNEY ST, SUITE 201, PORTLAND, OR 97209-1453
(503) 477-5205
Mailing address
1849 NW KEARNEY ST, SUITE 201, PORTLAND, OR 97209-1453
(503) 477-5205
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD13567
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284083
—
OR
Enumeration date
05/03/2016
Last updated
06/07/2016
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