Organization
OREGON PAIN ADVISORS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK GREGORY ALTENHOFEN M.S. (CHIEF EXECUTIVE OFFICER)
(503) 915-2055
Entity
Organization
Contact information
Practice address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 774-8241
Mailing address
3235 NW SALTZMAN RD, PORTLAND, OR 97229-3950
(503) 915-2055
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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