Pacific Spine Specialists, Llc

LBN: Pacific Spine Specialists, Llc
Pacific Spine Specialists, Llc is an health care organization with primary practice located at 19260 Sw 65Th Ave Ste 270 , Tualatin OR 97062-5705. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Pacific Spine Specialists, Llc can be contacted via phone (503) 885-9391, or through Kaiser, Faye L via phone (503) 783-0201.

Contact Information

Primary practice address
19260 Sw 65Th Ave Ste 270 Tualatin OR 97062-5705
Phone: (503) 885-9391
Fax: (503) 783-0909
Website:
Map and Directions
Authorized official contact:
Name: Kaiser, Faye L
Phone: (503) 783-0201

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD15842 Oregon

Profile Details

NPI number 1740311679
LBN Legal business name Pacific Spine Specialists, Llc
DBA Doing business as
Authorized official Kaiser, Faye L
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2007
Last updated Jun 25th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740311679 NPPES
Oregon MEDICAID 241875

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