Organization
NORTHWEST PAIN INSTITUTE
Active
Organization
NORTHWEST PAIN INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR JORGENSEN MD (MD/OWNER)
(503) 883-8297
Entity
Organization
Contact information
Practice address
2005 CEDAR ST, FOREST GROVE, OR 97116-1701
(503) 883-8297
Mailing address
2005 CEDAR ST, FOREST GROVE, OR 97116-1701
(503) 883-8297
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
07/27/2020
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