Organization
OREGON PAIN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHONTHICHA KHOMKHAM (OWNER)
(503) 881-9459
Entity
Organization
Contact information
Practice address
2480 LIBERTY ST NE STE 180, SALEM, OR 97301-8388
(503) 881-9459
(503) 363-4373
Mailing address
2480 LIBERTY ST NE STE 180, SALEM, OR 97301-8388
(503) 363-4373
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/30/2016
Last updated
05/12/2022
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