Active NPI
Anderson Neurological Pain Solutions LLC
- Medical Specialty Clinic/Center
- Corvallis, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- DO159457
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gina Anderson, DO
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Neurology Physician
- Corvallis, OR
- NPI 1932231495
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.