OREGON PAIN ADVISORS, LLC (NPI# 1952794554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952794554 |
| Entity Type | Organization |
| Organization Name | OREGON PAIN ADVISORS, LLC |
| Practice Address |
140 S Holly St Medford OR 97501-3113 |
| Mailing Address |
3235 Nw Saltzman Rd Portland OR 97229-3950 |
| Practice Telephone | 5417748241 |
| Mailing Telephone | 5039152055 |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |
| Authorized Official Name | MR. MARK GREGORY ALTENHOFEN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5039152055 |
| Authorized Official Credential | M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 175T00000X | Peer Specialist | Other Service Providers | ||
| Y | 174H00000X | Health Educator | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | OREGON PAIN ADVISORS, LLC | 140 S Holly St, Medford, OR 97504 |
| Street Address |
140 S HOLLY ST |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710087333 | Elizabeth Ann Pischel | Advanced Practice Midwife | 140 S Holly St, Greentree, Medford, OR 97501-3113 | 2006-09-24 |
| 1518564434 | Melissa Olena Zivanov | Counselor | 140 S Holly St, Medford, OR 97501-3113 | 2020-10-04 |
| 1396351730 | Dana Alexzandria Bogdanove | Peer Specialist | 140 S Holly St, Medford, OR 97501-3113 | 2020-09-21 |
| 1508483405 | Justin Karl Sacco | Peer Specialist | 140 S Holly St, Medford, OR 97501-3113 | 2020-06-26 |
| 1487279402 | Autumn Jewel Doshier | Counselor | 140 S Holly St, Medford, OR 97501-3113 | 2020-06-15 |
| 1275156564 | Mayela Villa | Peer Specialist | 140 S Holly St, Medford, OR 97501-3113 | 2020-05-21 |
| 1801435243 | Jeanelle Kline | Counselor | 140 S Holly St, Medford, OR 97501-3113 | 2020-01-02 |
| 1255983979 | Griselda C Veloz | Nurse's Aide | 140 S Holly St, Medford, OR 97501-3113 | 2019-07-12 |
| 1164084497 | Martha Griselda Rodriguez | Peer Specialist | 140 S Holly St, Medford, OR 97501-3113 | 2019-07-08 |
| 1083179121 | Anthony Kahaly | Counselor | 140 S Holly St, Medford, OR 97501-3113 | 2019-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
| Find all providers in zip 97501 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497301576 | Allison M Nichols | Health Educator | 92 Gaston St, Medford, MA 02155-1220 | 2019-08-14 |
| 1861058109 | Ashley Lynn Bennett | Health Educator | 214 Fellsway W Apt 2, Medford, MA 02155-2062 | 2019-05-13 |
| 1972956027 | Melissa Maier | Health Educator | 236 Oak St, Medford, NY 11763-4041 | 2016-07-13 |
| 1063910222 | Nora Gail Anderson | Health Educator | 781 Black Oak Dr, Medford, OR 97504-9502 | 2018-01-23 |
| 1225546435 | Mindy Bath | Health Educator | 781 Black Oak Dr, Medford, OR 97504-9502 | 2018-01-22 |
| 1255848545 | Alisia Deann Cook | Health Educator | 781 Black Oak Dr, Medford, OR 97504-9502 | 2018-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120323 | James David Bongcayao | Health Educator | 2420 Kincaid St, Eugene, OR 97405-3056 | 2020-10-01 |
| 1215557319 | Genevieve White | Health Educator | 67477 E Bright Ct, Welches, OR 97067-8708 | 2020-04-20 |
| 1396365656 | Amy L Davis-bruner | Health Educator | 1320 Nw 27th St, Corvallis, OR 97330-2445 | 2020-04-16 |
| 1295361061 | Timothy Patching | Health Educator | 7650 S Prairie Rd, Tillamook, OR 97141-9542 | 2020-03-12 |
| 1942835616 | Julie Ann Krohn | Health Educator | 34600 Cape Kiwanda Dr, Pacific City, OR 97135-8020 | 2020-03-03 |
| 1265062517 | Anna Cobarrubia | Health Educator | Tillamook Family Ymca, 610 Stillwell Ave., Tillamook, OR 97141 | 2020-01-24 |
| 1033755517 | Suzanne Bjaranson | Health Educator | 2002 Se Chokeberry Ave, Warrenton, OR 97146-7340 | 2019-11-20 |
| 1952942252 | Olga Householder | Health Educator | 300 Sw Hill Rd, Mcminnville, OR 97128-9133 | 2019-10-08 |
| 1598323040 | Deschutes County Oregon | Health Educator | 1130 Nw Harriman St, Bend, OR 97703-1977 | 2019-05-30 |
| 1013477686 | Brenda Louise Duerksen | Health Educator | 8800 Se Sunnyside Rd Ste 224s, Clackamas, OR 97015-5770 | 2019-03-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on OREGON PAIN ADVISORS, 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.