Organization
PACIFIC SPORTS AND INTERVENTIONAL SPINE, LLC-P
Active
Organization
PACIFIC SPORTS AND INTERVENTIONAL SPINE, LLC-P
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN BUNCH (DIRECTOR OF CONTRACTING/CRED)
(503) 953-0357
Entity
Organization
Contact information
Practice address
123 PONDEROSA DR, SUTHERLIN, OR 97479-9812
(541) 543-2323
Mailing address
123 PONDEROSA DR, SUTHERLIN, OR 97479-9812
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up