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PACIFIC SPINE & REHAB, LLC
NPI 1992999536
Clinic/Center - Medical Specialty in Salem, OR

Active since August 28, 2007
2480 LIBERTY ST NE, STE 180, SALEM, OR 97301(503) 364-1990(503) 391-4688 Get Directions Write a Review

NPPES record last updated: March 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pacific Spine & Rehab, Llc NPPES

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

PACIFIC SPINE & REHAB, LLC (NPI 1992999536) is a healthcare organization registered as a medical specialty in Salem, Oregon and active in the NPI registry since August 2007. The organization lists Robert D. Heros, Owner / Member, as its authorized official.

NPPES Registry Identity

NPI1992999536
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NamePACIFIC SPINE & REHAB, LLC
Location Address2480 LIBERTY ST NE, STE 180Salem, OR 97301-8388
Mailing Address2480 Liberty St Ne, Ste 180Salem, OR 97301-8388 · (503) 364-1990 · Fax (503) 391-4688
Phone(503) 364-1990
Fax(503) 391-4688
Organization SubpartNo
Authorized OfficialRobert D. HerosOwner / Member · (503) 364-1990
Enumeration DateAugust 28, 2007
Last NPPES UpdateMarch 6, 2008
✔ NPI 1992999536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in OR · MD27619
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
2480 LIBERTY ST NE, Salem, OR 97301
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Other Identifiers 1

Medicare UPIN138599OR

Other Providers at the Same Location NPPES 10

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

PAIN CARE SPECIALISTS, PC
Anesthesiology (Pain Medicine)
2480 LIBERTY ST NE, SUITE 180
SALEM, OR 97301
Marion County (503) 371-1010
DR. POLY CHEN M.D.
Pain Medicine (Interventional Pain Medicine)
2480 LIBERTY ST NE, SUITE 110
SALEM, OR 97301
Marion County (503) 371-1010
JANELLE ZYCH DPT
Physical Therapist
2480 LIBERTY ST NE, SUITE 140
SALEM, OR 97301
Marion County (503) 763-3525
ADVANCED VASCULAR THERAPY LLC
Surgery (Vascular Surgery)
2480 LIBERTY ST NE, SUITE 110
SALEM, OR 97301
Marion County (503) 371-1756
GLEN STANLEY ROSEBOROUGH MD
Surgery (Vascular Surgery)
2480 LIBERTY ST NE, SUITE 110
SALEM, OR 97301
Marion County (503) 371-1756
DR. WALLACE I LAI I MD
Internal Medicine (Clinical Cardiac Electrophysiology)
2480 LIBERTY ST NE, SUITE 110
SALEM, OR 97301
Marion County (503) 371-1756
WILLAMETTE OPEN IMAGING, LLC
Clinic/Center (Radiology)
2480 LIBERTY ST NE, STE. 110
SALEM, OR 97301
Marion County (503) 581-2021
NASH WILLIAM KEENE STUDENT
Physician Assistant (Medical)
2480 LIBERTY ST NE, SUITE 180
SALEM, OR 97301
Marion County (503) 371-1010

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 Spine & Rehab, LLC's NPI number?

The NPI number for Pacific Spine & Rehab, LLC is 1992999536. It was assigned to this organization in the NPPES registry on August 28, 2007.

Where is Pacific Spine & Rehab, LLC located?

Pacific Spine & Rehab, LLC is located at 2480 Liberty St NE Ste 180, Salem, OR 97301. The listed phone number is (503) 364-1990.

What is Pacific Spine & Rehab, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Pacific Spine & Rehab, LLC was last updated on March 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.