Organization
EN8 PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JON CLINE LMT (CEO)
(503) 364-9242
Entity
Organization
Contact information
Practice address
1803 LANSING AVE NE, SALEM, OR 97301-8733
(503) 364-9242
(503) 371-5325
Mailing address
1803 LANSING AVE NE, SALEM, OR 97301-8733
(503) 364-9242
(503) 371-5325
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
7586
OR
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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