Viking Pain Management

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

VIKING PAIN MANAGEMENT

Practice address

497 SW Century Dr
Unit # 105
Bend, OR 97702

Phone

(509) 591-7105

NPI assigned

Dec 23, 2022

Organization subpart

No

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

Authorized official

Name

Tiffanie Beth Hicks

Title

Owner/Operator

Phone

(509) 591-7105

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671753600000",
    "number": "1699487405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97709",
            "telephone_number": "509-591-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 SW CENTURY DR",
            "address_2": "UNIT # 105",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "509-591-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIKING PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "TIFFANIE",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "509-591-7105"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Viani, LCSW
• Robin Kay Vickery, LCSW
• Victory Chiropractic
• Viewpoint Therapy
• Darion Linda Vigueria
• Michael E Villano, M.D.
• B. Renee Villanueva, M.ED.,LMFT
• Priscilla Villarreal, M.D.
• Kaylee Vincent
• Sarah Vincent

• Pain Medicine Physician in Bend, OR
• Providers in Bend, OR by specialty
• Pain Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.