ANDERSON NEUROLOGICAL PAIN SOLUTIONS LLC (NPI# 1538565015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538565015 |
| Entity Type | Organization |
| Organization Name | ANDERSON NEUROLOGICAL PAIN SOLUTIONS LLC |
| Practice Address |
2211 Nw Professional Dr Corvallis OR 97330-3891 |
| Practice Telephone | 5417609644 |
| Mailing Telephone | 5417609644 |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2014-11-11 |
| Authorized Official Name | DR. GINA ANDERSON (PHYSICIAN) |
| Authorized Official Telephone | 5417609644 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
DO159457 | OR | Ambulatory Health Care Facilities |
| Street Address |
2211 NW PROFESSIONAL DR |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-3891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295779734 | Todd Jay Lewis | Orthopaedic Surgery | 2211 Nw Professional Dr, Ste 100, Corvallis, OR 97330-3887 | 2006-06-15 |
| 1376992594 | Mojo Physical Therapy LLC | Clinic/Center | 2211 Nw Professional Dr, Suite 204, Corvallis, OR 97330-3891 | 2016-06-08 |
| 1285098194 | Sahali Health LLC. | Point of Service | 2211 Nw Professional Dr, Corvallis, OR 97330-3891 | 2016-04-06 |
| 1750741807 | K Remedy LLC. | Pharmacy | 2211 Nw Professional Dr, Suite 201, Corvallis, OR 97330-3891 | 2016-03-02 |
| 1598019234 | Caroline J Zaworski | Nurse Practitioner | 2211 Nw Professional Dr, Ste 100, Corvallis, OR 97330-3891 | 2012-11-02 |
| 1225200595 | Rehabilitation Associates Northwest | Clinic/Center | 2211 Nw Professional Dr, Ste 100, Corvallis, OR 97330-3891 | 2008-03-27 |
| 1972700664 | Todd J. Lewis, Md, PC | Orthopaedic Surgery | 2211 Nw Professional Dr, Ste 100, Corvallis, OR 97330-3891 | 2007-06-27 |
| 1871669465 | David John Doughman | Physical Therapist | 2211 Nw Professional Dr, Ste 100, Corvallis, OR 97330-3891 | 2006-11-27 |
| 1003902941 | Susan Gorthey Bottomley | Occupational Therapist | 2211 Nw Professional Dr, Ste 100, Corvallis, OR 97330-3891 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| 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). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457764961 | Black Stone Health PC | Clinic/Center | 2358 Nw Kings Blvd, Suite 100, Corvallis, OR 97330 | 2014-06-03 |
| 1609033976 | Dr. Leslie Beth Berman P.C. | Clinic/Center | 2438 Nw Professional Dr, Corvallis, OR 97330-3991 | 2008-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026466 | Kyle D. Homertgen Bend Osteopathic Care PC | Clinic/Center | 147 Sw Shevlin Hixon Dr Ste 204, Bend, OR 97702-1137 | 2020-09-02 |
| 1396252177 | Rising Heart Healing | Clinic/Center | 492 E 13th Ave Ste 208, Eugene, OR 97401-4268 | 2018-01-03 |
| 1417316191 | Ronald Guiley Od, Mph, PC | Clinic/Center | 63455 N Hwy 97, Ste 75, Bend, OR 97703 | 2016-02-23 |
| 1932566320 | Dr Steven Clark and Associates, LLC | Clinic/Center | 697 Nw Division St, Gresham, OR 97030-5424 | 2016-01-15 |
| 1174907638 | Bridgeton Chiropractic, LLC | Clinic/Center | 10350 N Vancouver Way # 92, Portland, OR 97217-7530 | 2015-07-15 |
| 1356745301 | Deschutes Health LLC | Clinic/Center | 612 Ne Savannah Dr, Suite 1, Bend, OR 97701-4874 | 2014-10-20 |
| 1447677059 | Ent Facial Plastic and Laser Center, Inc | Clinic/Center | 600 Nw 11th St Ste E21, Hermiston, OR 97838-8603 | 2014-03-20 |
| 1154661163 | Sundara Acupuncture LLC | Clinic/Center | 17175 Sw Lisa St, Beaverton, OR 97006-4185 | 2013-02-28 |
| 1053659938 | Dedicated Sleep, LLC | Clinic/Center | 21260 S Springwater Rd, Estacada, OR 97023-9650 | 2013-01-28 |
| 1912241746 | Portland Preventive Cardiology LLC | Clinic/Center | 8855 Sw Canyon Ln, Portland, OR 97225-3411 | 2012-11-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ANDERSON NEUROLOGICAL PAIN SOLUTIONS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.