Organization
OREGON TRAIL HEALTH CARE
Active
Other names
PCA Pain Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROB MILLER (FRANCHISEE)
(800) 909-9220
Entity
Organization
Contact information
Practice address
1693 SW CHANDLER AVE, 260, BEND, OR 97702-3236
(800) 909-9220
(801) 665-1882
Mailing address
1693 SW CHANDLER AVE, 260, BEND, OR 97702-3236
(800) 909-9220
(801) 665-1882
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
07/29/2011
Last updated
06/11/2012
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