PACIFIC SPORTS AND INTERVENTIONAL SPINE, LLC-P
NPI 1215898564
Pain Medicine - Interventional Pain Medicine in Sutherlin, OR

Q: What is Pacific Sports And Interventional Spine, Llc-P's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Active since November 18, 2025

123 PONDEROSA DR, SUTHERLIN, OR 97479(541) 543-2323 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pacific Sports And Interventional Spine, Llc-p NPPES

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

PACIFIC SPORTS AND INTERVENTIONAL SPINE, LLC-P (NPI 1215898564) is a healthcare organization registered as an interventional pain medicine in Sutherlin, Oregon and active in the NPI registry since November 2025. The organization lists Kristin Bunch, Director Of Contracting/cred, as its authorized official.

NPPES Registry Identity

NPI1215898564

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NamePACIFIC SPORTS AND INTERVENTIONAL SPINE, LLC-P

Location Address123 PONDEROSA DRSutherlin, OR 97479-9812

Mailing Address123 Ponderosa DrSutherlin, OR 97479-9812

Phone(541) 543-2323

Organization SubpartNo

Authorized OfficialKristin BunchDirector Of Contracting/cred · (503) 953-0357

Enumeration DateNovember 18, 2025

NPPES CertifiedNovember 18, 2025

✔ NPI 1215898564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

123 PONDEROSA DR, Sutherlin, OR 97479

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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

Other Providers at the Same Location NPPES 5

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

DANIELLE GIVENS LCSW

Social Worker

123 PONDEROSA DR
SUTHERLIN, OR 97479

Douglas County (541) 459-3788

UMPQUA REGIONAL MEDICAL CENTER DIAGNOSTICS

Clinical Medical Laboratory

123 PONDEROSA DR, SUITE 101
SUTHERLIN, OR 97479

Douglas County (541) 459-3500

KODY SEELEY DO

Family Medicine

123 PONDEROSA DR
SUTHERLIN, OR 97479

Douglas County (541) 459-3788

FAIZA SALMAN MD

Family Medicine

123 PONDEROSA DR, SUITE 102
SUTHERLIN, OR 97479

Douglas County (541) 459-3500

ANNA KULACZ-MCNETT PA-C

Physician Assistant

123 PONDEROSA DR
SUTHERLIN, OR 97479

Douglas County (541) 459-3788

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 Pacific Sports And Interventional Spine, Llc-P's NPI number?

The NPI number for Pacific Sports And Interventional Spine, Llc-P is 1215898564. It was assigned to this organization in the NPPES registry on November 18, 2025.

Where is Pacific Sports And Interventional Spine, Llc-P located?

Pacific Sports And Interventional Spine, Llc-P is located at 123 Ponderosa Dr, Sutherlin, OR 97479. The listed phone number is (541) 543-2323.

What is Pacific Sports And Interventional Spine, Llc-P's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for Pacific Sports And Interventional Spine, Llc-P was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.