Organization
OREGON PAIN CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR D JORGENSEN MD (PHYSICIAN)
(503) 828-9569
Entity
Organization
Contact information
Practice address
11750 SW BARNES RD STE 270, PORTLAND, OR 97225-5911
(503) 828-9569
(503) 828-9056
Mailing address
PO BOX 101895, PASADENA, CA 91189-1895
(503) 828-9569
(503) 828-9056
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
07/01/2015
Last updated
05/11/2018
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