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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

PACIFIC SPORTS AND INTERVENTIONAL SPINE, LLC
NPI 1881186336
Pain Medicine - Interventional Pain Medicine in Springfield, OR

Active since May 31, 2018
2445 BEVERLY ST STE B, SPRINGFIELD, OR 97477(541) 686-3791(541) 686-3795 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2026, Jun 1, 2026, Nov 6, 2023 and 3 more (6 updates tracked since 2018).

About Pacific Sports And Interventional Spine, Llc NPPES

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

PACIFIC SPORTS AND INTERVENTIONAL SPINE, LLC (NPI 1881186336), doing business as Pacific Sports And Spine, is a healthcare organization registered as an interventional pain medicine in Springfield, Oregon and active in the NPI registry since May 2018. The organization lists Leslie Rea, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1881186336
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NamePACIFIC SPORTS AND INTERVENTIONAL SPINE, LLC
Location Address2445 BEVERLY ST STE BSpringfield, OR 97477-1910
Mailing Address2445 Beverly St Ste BSpringfield, OR 97477-1910 · (541) 743-9003 · Fax (541) 284-0520
Phone(541) 686-3791
Fax(541) 686-3795
Organization SubpartNo
Authorized OfficialLeslie ReaPractice Manager · (541) 743-9003
Enumeration DateMay 31, 2018
Last NPPES UpdateJuly 21, 20266 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1881186336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Licenses✔ Licensed in OR · MD27887✔ Licensed in OR · MD28629
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.
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA00800 (OR), PA00420 (OR), PA152998 (OR)
2445 BEVERLY ST STE B, Springfield, OR 97477
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Other Names 1

Doing Business AsPacific Sports And Spine

Other Identifiers 5

Medicaid500632183OR
Medicaid244117OR
Medicaid500604467OR
Medicaid500608609OR
Medicaid500624453OR

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 11

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

DR. GREGORY M PHILLIPS MD
Pain Medicine (Interventional Pain Medicine)
2445 BEVERLY ST STE B
SPRINGFIELD, OR 97477
Lane County (541) 780-6654
EDALYN MENDOZA KO DPM
Podiatrist (Foot Surgery)
2445 BEVERLY ST STE B
SPRINGFIELD, OR 97477
Lane County (541) 780-6654
CODY RYAN CANTRELL PAC
Physician Assistant
2445 BEVERLY ST STE B
SPRINGFIELD, OR 97477
Lane County (541) 780-6654
ELIZABETH ANNE STRUBEL P.A.
Physician Assistant (Medical)
2445 BEVERLY ST STE B
SPRINGFIELD, OR 97477
Lane County (541) 780-6654
KEVIN JOESPH KLOTT
Physician Assistant
2445 BEVERLY ST STE B
SPRINGFIELD, OR 97477
Lane County (541) 780-6654
DR. MAJALIWA MZOMBWE MD
Pain Medicine (Pain Medicine)
2445 BEVERLY ST STE B
SPRINGFIELD, OR 97477
Lane County (541) 780-6654
DR. GREGORY ANTHONY MOORE M.D.
Pain Medicine (Interventional Pain Medicine)
2445 BEVERLY ST STE B
SPRINGFIELD, OR 97477
Lane County (541) 780-6654
DR. STEPHEN PEIRCE MD
Pain Medicine (Interventional Pain Medicine)
2445 BEVERLY ST STE B
SPRINGFIELD, OR 97477
Lane County (541) 780-6654

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's NPI number?

The NPI number for Pacific Sports And Interventional Spine, LLC is 1881186336. It was assigned to this organization in the NPPES registry on May 31, 2018. The provider is doing business as Pacific Sports and Spine.

Where is Pacific Sports And Interventional Spine, LLC located?

Pacific Sports And Interventional Spine, LLC is located at 2445 Beverly St Ste B, Springfield, OR 97477. The listed phone number is (541) 686-3791.

What is Pacific Sports And Interventional Spine, LLC's specialty?

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

What insurance does Pacific Sports And Interventional Spine, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Pacific Sports And Interventional Spine, LLC 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 Pacific Sports And Interventional Spine, LLC was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.