Organization
PAIN MANAGEMENT NORTHWEST, INC
Active
Organization
PAIN MANAGEMENT NORTHWEST, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG D ANDERSON M.D. (PRESIDENT)
(503) 371-4647
Entity
Organization
Contact information
Practice address
350 MILLER ST SE # 100, SALEM, OR 97302
(503) 371-4647
(503) 584-7856
Mailing address
350 MILLER ST SE # 100, SALEM, OR 97302-4272
(503) 371-4647
(503) 584-7856
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
088393-91
OR
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
05/29/2007
Last updated
01/23/2019
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