Organization
SALEM PAIN AND SPINE SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS A MONREAL (BUSINESS MANAGER)
(503) 967-6771
Entity
Organization
Contact information
Practice address
1100 22ND ST SE, SALEM, OR 97302-6558
(503) 967-6771
(503) 385-8421
Mailing address
1100 22ND ST SE, SALEM, OR 97302-6558
(503) 967-6771
(503) 385-8421
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
07/19/2011
Last updated
11/27/2023
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