Corvallis Pain Management
LBN: Corvallis Medical Group Llc
Corvallis Pain Management is an health care organization with primary practice located at 800 Ne Circle Blvd , Corvallis OR 97330-4256. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty.
Corvallis Medical Group Llc can be contacted via phone (541) 286-4742, or through Rask, Julia Bull via phone (541) 368-3032.
Contact Information
Primary practice address
800 Ne Circle Blvd
Corvallis OR 97330-4256
Phone: (541) 286-4742
Fax: (833) 450-5933
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | ||
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X |
Profile Details
NPI number | 1740668649 |
---|---|
LBN Legal business name | Corvallis Medical Group Llc |
DBA Doing business as | Corvallis Pain Management |
Authorized official | Rask, Julia Bull PE |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 11th, 2015 |
Last updated | Apr 22nd, 2024 - about 5 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740668649 | NPPES |
Oregon | MEDICAID | 130103 |
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