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SALEM PAIN AND SPINE SPECIALISTS PC
NPI 1124316567
Physical Medicine & Rehabilitation - Pain Medicine in Salem, OR

Active since July 19, 2011CLIA 38D2033022 · Waiver
1100 22ND ST SE, SALEM, OR 97302(503) 967-6771(503) 385-8421 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2020, Apr 2, 2019 (2 updates tracked since 2019).

About Salem Pain And Spine Specialists Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALEM PAIN AND SPINE SPECIALISTS PC (NPI 1124316567) is a healthcare organization registered as a pain medicine in Salem, Oregon and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through November 20, 2027 and lists Carlos A Monreal, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1124316567
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameSALEM PAIN AND SPINE SPECIALISTS PC
Location Address1100 22ND ST SESalem, OR 97302-6558
Mailing Address1100 22nd St SeSalem, OR 97302-6558 · (503) 967-6771 · Fax (503) 385-8421
Phone(503) 967-6771
Fax(503) 385-8421
Organization SubpartNo
Authorized OfficialCarlos A MonrealBusiness Manager · (503) 967-6771
Enumeration DateJuly 19, 2011
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedOctober 20, 2020
✔ NPI 1124316567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
1100 22ND ST SE, Salem, OR 97302
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2033022

Salem Pain And Spine Specialists · Salem, OR
Active · expires Nov 20, 2027
CLIA Number38D2033022
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2025
Certificate Expiration DateNovember 20, 2027
Laboratory DirectorRebeca M Monreal
Laboratory Phone(503) 967-6771
Laboratory LocationSalem Pain And Spine Specialists1100 22nd St SE, Salem, OR 97302
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. REBECA M MONREAL DO
Physical Medicine & Rehabilitation (Pain Medicine)
1100 22ND ST SE
SALEM, OR 97302
Marion County (503) 967-6771
ANGELA T YOUNG PA-C
Physician Assistant
1100 22ND ST SE
SALEM, OR 97302
Marion County (503) 967-6771
DR. MAYA MODZELEWSKA M.D.
Physical Medicine & Rehabilitation (Pain Medicine)
1100 22ND ST SE
SALEM, OR 97302
Marion County (585) 275-3274

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Salem Pain And Spine Specialists PC's NPI number?

The NPI number for Salem Pain And Spine Specialists PC is 1124316567. It was assigned to this organization in the NPPES registry on July 19, 2011.

Where is Salem Pain And Spine Specialists PC located?

Salem Pain And Spine Specialists PC is located at 1100 22nd St SE, Salem, OR 97302. The listed phone number is (503) 967-6771.

What is Salem Pain And Spine Specialists PC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Does Salem Pain And Spine Specialists PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2033022) is associated with this NPI, valid through November 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Salem Pain And Spine Specialists PC accept?

Health plans from Moda Health Plan, Inc. list Salem Pain And Spine Specialists PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Salem Pain And Spine Specialists PC was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.