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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