Oregon Pain Advisors, LLC

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

OREGON PAIN ADVISORS, LLC

Practice address

140 S Holly St
Medford, OR 97501-3113

Phone

(541) 774-8241

NPI assigned

Mar 6, 2015

Last updated

Mar 6, 2015By 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

Mr. Mark Gregory Altenhofen, M.S.

Title

Chief Executive Officer

Phone

(503) 915-2055

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1952794554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 NW SALTZMAN RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972293950",
            "telephone_number": "503-915-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S HOLLY ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013113",
            "telephone_number": "541-774-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON PAIN ADVISORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "ALTENHOFEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "503-915-2055",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oregon Advanced Imaging, LLC
• Oregon CVS Pharmacy LLC (CVS Pharmacy #16159)
• Oregon Ear Nose and Throat Surgery
• Oregon Health Sciences University
• Oregon Internal Medicine, LLC.
• Oregon Retina Specialists, LLC (Oregon Retina Center)
• Oregon Shoulder Institute LLC
• Oregon Sleep Apnea & Snoring Center LLC
• Oregon Surgical Specialists PC
• Joanne Orengo, L.AC.

• Health Educator in Medford, OR
• Providers in Medford, OR by specialty
• Health Educator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.