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CORVALLIS PAIN AND SPINE INC
NPI 1871883868
Specialist in Philomath, OR

Active since April 12, 2011
2364 MAIN ST STE A, PHILOMATH, OR 97370(541) 929-2040(541) 929-2170 Get Directions Write a Review

NPPES record last updated: April 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Corvallis Pain And Spine Inc NPPES

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

CORVALLIS PAIN AND SPINE INC (NPI 1871883868) is a healthcare organization registered as a specialist in Philomath, Oregon and active in the NPI registry since April 2011. The organization lists Carl C Balog, Secretary, as its authorized official.

NPPES Registry Identity

NPI1871883868
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCORVALLIS PAIN AND SPINE INC
Location Address2364 MAIN ST STE APhilomath, OR 97370-9361
Mailing Address2364 Main St Ste APhilomath, OR 97370-9361 · (541) 929-2040 · Fax (541) 929-2170
Phone(541) 929-2040
Fax(541) 929-2170
Organization SubpartNo
Authorized OfficialCarl C BalogSecretary · (503) 887-2209
Enumeration DateApril 12, 2011
Last NPPES UpdateApril 14, 2011
✔ NPI 1871883868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2364 MAIN ST STE A, Philomath, OR 97370
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Other Identifiers 3

Medicare UPINR130869OR
Medicaid74062OR
Other831633001OR · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Corvallis Pain And Spine Inc's NPI number?

The NPI number for Corvallis Pain And Spine Inc is 1871883868. It was assigned to this organization in the NPPES registry on April 12, 2011.

Where is Corvallis Pain And Spine Inc located?

Corvallis Pain And Spine Inc is located at 2364 Main St Ste A, Philomath, OR 97370. The listed phone number is (541) 929-2040.

What is Corvallis Pain And Spine Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Corvallis Pain And Spine Inc was last updated on April 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.