Organization
COACTION, INC.
Active
Other names
Mid-Valley Pain Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY R CARLSON (OWNER)
(503) 371-1970
Entity
Organization
Contact information
Practice address
3723 FAIRVIEW INDUSTRIAL DR SE STE 170, SALEM, OR 97302-1174
(503) 371-1970
(503) 371-0192
Mailing address
3723 FAIRVIEW INDUSTRIAL DR SE STE 170, SALEM, OR 97302-1174
(503) 371-1970
(503) 371-0192
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500617813
—
OR
Enumeration date
06/26/2008
Last updated
09/23/2019
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