Organization Active NPI

Anderson Neurological Pain Solutions LLC

  • Medical Specialty Clinic/Center
  • Corvallis, OR
National Provider Identifier
1538565015
Registry record updated Nov 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
DO159457 Issued in OR
Legal business name
ANDERSON NEUROLOGICAL PAIN SOLUTIONS LLC
Practice address
2211 NW Professional Dr
Corvallis, OR 97330-3891
Phone
(541) 760-9644
NPI assigned
Nov 11, 2014
Last updated
Nov 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2014

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

Authorized official

Name
Dr. Gina Anderson, DONPI 1932231495
Title
Physician
Phone
(541) 760-9644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X DO159457 OR Primary

Addresses

Primary practice location

2211 NW Professional Dr
Corvallis, OR 97330-3891

Mailing address

2211 NW Professional Dr
Corvallis, OR 97330-3891
Phone (541) 760-9644

National Provider Directory

National Provider Directory

Locations

2211 NW Professional Dr
Corvallis, OR 97330
Phone (541) 286-4720

2211 NW Professional Dr
Ste 203
Corvallis, OR 97330
Phone (541) 286-4720

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415664000000",
    "number": "1538565015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 NW PROFESSIONAL DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303891",
            "telephone_number": "541-760-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 NW PROFESSIONAL DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303891",
            "telephone_number": "541-760-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON NEUROLOGICAL PAIN SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-11",
        "last_updated": "2014-11-11",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "541-760-9644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OR",
            "license": "DO159457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; 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.