Organization
PACIFIC PAIN MANAGEMENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY SMITH (DIRECTOR)
(503) 654-5636
Entity
Organization
Contact information
Practice address
6542 SE LAKE RD STE 202, MILWAUKIE, OR 97222-2245
(503) 654-5636
(503) 654-5638
Mailing address
6542 SE LAKE RD STE 202, MILWAUKIE, OR 97222-2245
(503) 654-5636
(503) 654-5638
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
16764
OR
Other
Enumeration date
09/26/2008
Last updated
08/12/2010
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