Pain Consultants of Oregon PC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

38D1047176 Issued in OR

Legal business name

PAIN CONSULTANTS OF OREGON PC

Doing business as

Oregon Analytic LLC

Practice address

360 S Garden Way Ste 101
Eugene, OR 97401-8173

Phone

(541) 868-0149

Fax

(541) 868-0484

NPI assigned

Aug 3, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Wagner

Title

Adminisstrator

Phone

(541) 684-9451

Specialties & licenses 1

Addresses

Other names 1

• Oregon Analytic LLC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marissa Reen, PA-C

  • Physician Assistant
  • Eugene, OR
  • NPI 1346617792
  NPD (past)
• Tracy P Jackson, MD

  • Pain Medicine (Anesthesiology) Physician
  • Walnut Creek, CA
  • NPI 1154436590
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1245587674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S GARDEN WAY STE 101",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018173",
            "telephone_number": "541-684-9451",
            "fax_number": "541-684-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S GARDEN WAY STE 101",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018173",
            "telephone_number": "541-868-0149",
            "fax_number": "541-868-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CONSULTANTS OF OREGON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISSTRATOR",
        "authorized_official_telephone_number": "541-684-9451"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OR",
            "license": "38D1047176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Analytic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janet B Packer, CADC-R, QMHA-R
• Terence Packham, MFT
• Sarah Pagen, LMT
• Eve Julia Pagliaro, L.AC
• Kayla Siobhan Paige
• Pain Consultants of Oregon PC
• Pain GPS Clinic, LLC
• Pain Mangement Partners, LLC
• Pain Specialists of Oregon PC
• Judy Painton

• Clinical Medical Laboratory in Eugene, OR
• Providers in Eugene, OR by specialty
• Clinical Medical Laboratory in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.