Pacific Sports and Interventional Spine, Llc-P
Pacific Sports and Interventional Spine, Llc-P is an Interventional Pain Medicine Physician in Sutherlin, Oregon. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
123 Ponderosa DrSutherlin, OR 97479-9812
Phone: (541) 543-2323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Interventional Pain Medicine Physician (primary) | Taxonomy 208VP0014X |
|---|
Record details
| NPI number | 1215898564 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kristin Bunch — Director Of Contracting/Cred · (503) 953-0357 |
| NPI enumerated | November 18, 2025 |
| Last updated in NPPES | November 18, 2025 |
| Certification date | November 18, 2025 |
| Mailing address | 123 Ponderosa Dr, Sutherlin, OR 97479-9812 |