Organization
PAIN CONSULTANTS OF OREGON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GESSELE (ADMINISTRATOR)
(541) 684-9451
Entity
Organization
Contact information
Practice address
360 S GARDEN WAY STE 101, EUGENE, OR 97401-8034
(541) 684-9451
Mailing address
360 S GARDEN WAY STE 101, EUGENE, OR 97401-8034
(541) 684-9451
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181155
—
OR
Enumeration date
12/04/2006
Last updated
08/22/2020
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