Organization
VIKING PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANIE BETH HICKS (OWNER/OPERATOR)
(509) 591-7105
Entity
Organization
Contact information
Practice address
497 SW CENTURY DR, UNIT # 105, BEND, OR 97702
(509) 591-7105
Mailing address
PO BOX 1200, BEND, OR 97709
(509) 591-7105
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
12/23/2022
Last updated
12/23/2022
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