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PACIFIC SPORTS AND INTERVENTIONAL SPINE, LLC-P
NPI 1912868225
Pain Medicine - Interventional Pain Medicine in Eugene, OR

Active since November 18, 2025CLIA Certified · 4 labs
1711 WILLAMETTE ST STE 302, EUGENE, OR 97401(541) 780-6654 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 1912868225) is a healthcare organization registered as an interventional pain medicine in Eugene, Oregon and active in the NPI registry since November 2025. The organization holds 4 active CLIA laboratory certificates and lists Kristin Bunch, Director Of Contracting/cred, as its authorized official.

NPPES Registry Identity

NPI1912868225
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NamePACIFIC SPORTS AND INTERVENTIONAL SPINE, LLC-P
Location Address1711 WILLAMETTE ST STE 302Eugene, OR 97401-4593
Mailing Address1711 Willamette St Ste 302Eugene, OR 97401-4593
Phone(541) 780-6654
Organization SubpartNo
Authorized OfficialKristin BunchDirector Of Contracting/cred · (503) 953-0357
Enumeration DateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
✔ NPI 1912868225 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.
1711 WILLAMETTE ST STE 302, Eugene, OR 97401
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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

CLIA Laboratory Certificates CMS CLIA 4

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 38D2199707

Pacific Sports And Interventional Spine, LLC · Eugene, OR
Active · expires Nov 9, 2026
CLIA Number38D2199707
Laboratory TypePhysician Office
Certificate Effective DateNovember 10, 2024
Certificate Expiration DateNovember 9, 2026
Laboratory DirectorGregory M. Phillips
Laboratory Phone(541) 284-0530
Laboratory LocationPacific Sports And Interventional Spine, LLC74B Centennial Loop, Ste 100, Eugene, OR 97401
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D2339427

Pacific Sports And Spine LLC · Sutherlin, OR
Active · expires Mar 1, 2028
CLIA Number38D2339427
Laboratory TypePhysician Office
Certificate Effective DateMarch 2, 2026
Certificate Expiration DateMarch 1, 2028
Laboratory DirectorGregory A. Moore
Laboratory Phone(541) 780-6654
Laboratory LocationPacific Sports And Spine LLC123 Ponderosa Drive, Sutherlin, OR 97479
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D2339428

Pacific Sports And Spine LLC · Eugene, OR
Active · expires Mar 1, 2028
CLIA Number38D2339428
Laboratory TypePhysician Office
Certificate Effective DateMarch 2, 2026
Certificate Expiration DateMarch 1, 2028
Laboratory DirectorGregory A. Moore
Laboratory Phone(541) 780-6654
Laboratory LocationPacific Sports And Spine LLC1711 Willamette St Ste 101, Eugene, OR 97401
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D2339431

Pacific Sports And Spine LLC · Springfield, OR
Active · expires Mar 1, 2028
CLIA Number38D2339431
Laboratory TypePhysician Office
Certificate Effective DateMarch 2, 2026
Certificate Expiration DateMarch 1, 2028
Laboratory DirectorGregory A. Moore
Laboratory Phone(541) 780-6654
Laboratory LocationPacific Sports And Spine LLC2445 Beverly Street Suite B, Springfield, OR 97477
CLIA data matches this NPI record on: 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. JEDEDIAH DAVID ALEXANDER ROBINSON M.D
Pain Medicine (Interventional Pain Medicine)
1711 WILLAMETTE ST STE 302
EUGENE, OR 97401
Lane County (541) 743-9003
CARLA K MCKIBBEN PT
Physical Therapist
1711 WILLAMETTE ST STE 302
EUGENE, OR 97401
Lane County (541) 316-6730
AARON BARNARD
Physical Therapist
1711 WILLAMETTE ST STE 302
EUGENE, OR 97401
Lane County (541) 743-9003

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 1912868225. 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 1711 Willamette St Ste 302, Eugene, OR 97401. The listed phone number is (541) 780-6654.

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.

Does Pacific Sports And Interventional Spine, Llc-P hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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.