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

Willamette Pain & Spine Center PC

Organization Community/Retail Pharmacy · NPI 1114312451

Willamette Pain & Spine Center PC is a Community/Retail Pharmacy in Clackamas, Oregon. Licensed in Oregon. Registered with an NPI since 2015.

Licensed in
OR
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10001 SE Sunnyside Rd Ste 100A
Clackamas, OR 97015-9728
Phone: (503) 343-9363
Show map & directions

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

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence RP0003062CS (OR)

Record details

NPI number1114312451
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tammie Miskimins — Mgr, Licensing & Third Party · (817) 572-0009
Other names Sunnyside Pharmacy
NPI enumeratedApril 3, 2015
Last updated in NPPESJune 29, 2016
Mailing address1620 W. Northwest Hwy, Ste. 100, Grapevine, TX 76051

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