Unknown Individual – Interventional Pain Medicine Physician, NPI 1649251315
Interventional Pain Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
6464, Southwest Borland Road, Tualatin, Metro, Clackamas County, Oregon, 97062, United States
STE C-1
TUALATIN, OR 970628876
Phone: (503) 885-1515
Fax: (503) 885-1520
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97062)
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