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

Pacific Sports and Interventional Spine, LLC

Organization Interventional Pain Medicine Physician · NPI 1881186336

Pacific Sports and Interventional Spine, LLC is an Interventional Pain Medicine Physician in Springfield, Oregon. Licensed in Oregon. Registered with an NPI since 2018.

Licensed in
OR
In the registry since
2018
Specialties on file
5
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

2445 Beverly St Ste B
Springfield, OR 97477-1910
Phone: (541) 686-3791
Fax: (541) 686-3795
Show map & directions

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

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence MD27887 (OR)
Interventional Pain Medicine Physician Taxonomy 208VP0014X · Licence MD28629 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA00800 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA00420 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA152998 (OR)

Record details

NPI number1881186336
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leslie Rea — Practice Manager · (541) 743-9003
Other names Pacific Sports And Spine
NPI enumeratedMay 31, 2018
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address2445 Beverly St Ste B, Springfield, OR 97477-1910

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