Advanced Pain Care, PC
Organization Active NPI Specialist · Ashland, OR
NPI 1902159809 · NPPES record last updated Oct 18, 2012
Key facts
- NPI
- 1902159809
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- MD18140 (OR)
- Legal business name
- ADVANCED PAIN CARE, PC
- Practice address
- 638 N Main St
Suite a
Ashland, OR 97520-1887 - Phone
- (541) 482-1712
- Fax
- (541) 482-1777
- NPI assigned
- Oct 17, 2012
- Organization subpart
- No
Authorized official
- Name
- Mrs. Mary D Werner
- Title
- Office Manager
- Phone
- (541) 482-1712
National Provider Directory
Locations
1619 NW Hawthorne Ave
Ste 201
Grants Pass, OR 97526
Phone (541) 474-1020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | MD18140 | OR | Yes |
Addresses
Primary practice location
638 N Main St
Suite a
Ashland, OR 97520-1887
Mailing address
638 N Main St
Suite a
Ashland, OR 97520-1887
Phone (541) 482-1712
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R110996 | Other | OR | PTAN |
Other providers in Ashland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.