Organization
PAIN CONSULTANTS OF OREGON PC
Active
Organization
PAIN CONSULTANTS OF OREGON PC
Active
Other names
Oregon Analytic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WAGNER (ADMINISSTRATOR)
(541) 684-9451
Entity
Organization
Contact information
Practice address
360 S GARDEN WAY STE 101, EUGENE, OR 97401-8173
(541) 868-0149
(541) 868-0484
Mailing address
360 S GARDEN WAY STE 101, EUGENE, OR 97401-8173
(541) 684-9451
(541) 684-9566
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
38D1047176
OR
Other
Enumeration date
08/03/2012
Last updated
09/10/2012
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