Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northern Lights Pain Management LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1619203585

Northern Lights Pain Management LLC is a Pain Medicine (Anesthesiology) Physician in Fairbanks, Alaska. Licensed in Alaska. Registered with an NPI since 2009.

Licensed in
AK
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1320 22nd Ave
Fairbanks, AK 99701-6516
Phone: (907) 452-4777
Fax: (907) 452-4787
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 297874 (AK)

Record details

NPI number1619203585
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Valentz — Owner · (907) 770-9600
NPI enumeratedOctober 27, 2009
Last updated in NPPESOctober 27, 2009
Mailing addressPo Box 71434, Fairbanks, AK 99707-1434

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