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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PACIFIC SPORTS AND INTERVENTIONAL SPINE, LLC-P

Active Organization

Interventional Vascular Surgery · SUTHERLIN, OR

Registration Details

NPI Number
1215898564
Provider Type
Organization
NPI Issued
Nov 18, 2025 (0.42161442955321 yrs)
Last Updated
Nov 18, 2025

Practice Information

Address
123 PONDEROSA DR
SUTHERLIN, OR, 974799812
Browse OR providers · Browse ZIP 97479
Phone
5415432323
Primary Specialty
Interventional Vascular Surgery
208VP0014X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.