Mid-Valley Pain Clinic

LBN: Coaction, Inc.
Mid-Valley Pain Clinic is an health care organization with primary practice located at 3723 Fairview Industrial Dr Se Ste 170 , Salem OR 97302-1174. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Coaction, Inc. can be contacted via phone (503) 371-1970, or through Carlson, Shelly R via phone (503) 371-1970.

Contact Information

Primary practice address
3723 Fairview Industrial Dr Se Ste 170 Salem OR 97302-1174
Phone: (503) 371-1970
Fax: (503) 371-0192
Website:
Map and Directions
Authorized official contact:
Name: Carlson, Shelly R
Phone: (503) 371-1970

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1275795619
LBN Legal business name Coaction, Inc.
DBA Doing business as Mid-Valley Pain Clinic
Authorized official Carlson, Shelly R
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2008
Last updated Sep 23rd, 2019 - about 5 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 1275795619 NPPES
Oregon MEDICAID 500617813

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