Organization Active NPI

Pain Relief Center,LLC

  • Interventional Pain Medicine Physician
  • Medford, OR
National Provider Identifier
1477813582
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
MD157375 Issued in OR
Legal business name
PAIN RELIEF CENTER,LLC
Practice address
2925 Siskiyou Blvd
Medford, OR 97504-8179
Phone
(541) 773-1435
Fax
(541) 858-6828
NPI assigned
May 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Authorized official

Name
Dodie Rachel Noles
Title
Coo
Phone
(541) 488-2101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X MD157375 OR Primary

Addresses

Primary practice location

2925 Siskiyou Blvd
Medford, OR 97504-8179

Mailing address

2925 Siskiyou Blvd
Medford, OR 97504-8179
Phone (541) 773-1435

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1477813582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 SISKIYOU BLVD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048179",
            "telephone_number": "541-773-1435",
            "fax_number": "541-858-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 SISKIYOU BLVD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048179",
            "telephone_number": "541-773-1435",
            "fax_number": "541-858-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN RELIEF CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "NOLES",
        "authorized_official_first_name": "DODIE",
        "authorized_official_middle_name": "RACHEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "541-488-2101"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OR",
            "license": "MD157375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.