Pacific Sports and Interventional Spine, LLC-P

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

PACIFIC SPORTS AND INTERVENTIONAL SPINE, LLC-P

Practice address

1711 Willamette St Ste 302
Eugene, OR 97401-4593

Phone

(541) 780-6654

NPI assigned

Nov 18, 2025

Last updated

Nov 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristin Bunch

Title

Director of Contracting/Cred

Phone

(503) 953-0357

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Pacific Sports and Interventional Spine, LLC

  dba Pacific Sports and Spine

  • Interventional Pain Medicine Physician
  • Springfield, OR
  • NPI 1881186336

  3072867316

  Same PAC ID
• Pacific Sports and Interventional Spine, LLC-P

  • Interventional Pain Medicine Physician
  • Sutherlin, OR
  • NPI 1215898564

  3072867316

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Pacific Sports and Inter2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pacific Sports and Interventional Spine, LLC-P

  • Interventional Pain Medicine Physician
  • Sutherlin, OR
  • NPI 1215898564
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Pacific Sports and Interventional Spine, LLC

  dba Pacific Sports and Spine

  • Interventional Pain Medicine Physician
  • Springfield, OR
  • NPI 1881186336

  Member Of

  NPD member

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

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1912868225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 WILLAMETTE ST STE 302",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 WILLAMETTE ST STE 302",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014593",
            "telephone_number": "541-780-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SPORTS AND INTERVENTIONAL SPINE, LLC-P",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "BUNCH",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "DIRECTOR OF CONTRACTING/CRED",
        "authorized_official_telephone_number": "503-953-0357"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Natural Medicine, LLC (Turning Point Center)
• Pacific Northwest Wellness LLC
• Pacific NW Mindful Change LLC (Pacific NW Therapy Collective)
• Pacific Plastic Surgery PC
• Pacific Sky Counseling
• Pacific Surgery Center LLC
• Pacific Womens Center LLC
• Janet B Packer, CADC-R, QMHA-R
• Terence Packham, MFT
• Sarah Pagen, LMT

• Interventional Pain Medicine Physician in Eugene, OR
• Providers in Eugene, OR by specialty
• Interventional Pain Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.