First Call Pain Management LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

238234 Issued in OR

Legal business name

FIRST CALL PAIN MANAGEMENT LLC

Practice address

2608 Cascadia Industrial St SE
Salem, OR 97302-1159

Phone

(503) 371-7246

Fax

(503) 576-2634

NPI assigned

Apr 19, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Jacob Mullin

Title

Owner/Ceo

Phone

(503) 371-7246

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1558628263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 CASCADIA INDUSTRIAL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021159",
            "telephone_number": "503-371-7246",
            "fax_number": "503-576-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 CASCADIA INDUSTRIAL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021159",
            "telephone_number": "503-371-7246",
            "fax_number": "503-576-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CALL PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "MULLIN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "503-371-7246",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "238234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Salem, OR
• Providers in Salem, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.