NPIMap

Organization Active NPI

En8 Pain Management

  • Health Maintenance Organization
  • Salem, OR
National Provider Identifier
1467835520
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
7586 Issued in OR
Legal business name
EN8 PAIN MANAGEMENT
Practice address
1803 Lansing Ave NE
Salem, OR 97301-8733
Phone
(503) 364-9242
Fax
(503) 371-5325
NPI assigned
Jul 7, 2015
Last updated
Jul 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Mr. Michael Jon Cline, LMT
Title
Ceo
Phone
(503) 364-9242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 7586 OR Primary

Addresses

Primary practice location

1803 Lansing Ave NE
Salem, OR 97301-8733

Mailing address

1803 Lansing Ave NE
Salem, OR 97301-8733
Phone (503) 364-9242

National Provider Directory

National Provider Directory
Tax ID family
Aspen Pain Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1803 Lansing Ave NE
Salem, OR 97301
Phone (503) 364-9242

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1467835520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 LANSING AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973018733",
            "telephone_number": "503-364-9242",
            "fax_number": "503-371-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 LANSING AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973018733",
            "telephone_number": "503-364-9242",
            "fax_number": "503-371-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EN8 PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-364-9242",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OR",
            "license": "7586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.