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Organization

PORTERCARE ADVENTIST HEALTH SYSTEM

Active
Other names
Neurosurgery One Interventional Pain Porter
Organization subpart
No

Provider details

NPI number
Authorized official
JASON TACHA (COO)
(303) 304-7752
Entity
Organization

Contact information

Practice address
850 E HARVARD AVE STE 305, DENVER, CO 80210-5076
(720) 638-7500
(720) 812-5134
Mailing address
PO BOX 713425, CHICAGO, IL 60677-4325
(800) 953-0104

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary

Other

Enumeration date
10/23/2025
Last updated
10/23/2025
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