NPI 1215898564

Pacific Sports and Interventional Spine, Llc-P

Organisation Interventional Pain Medicine Physician Sutherlin, OR

Practice location

Address: 123 Ponderosa Dr, Sutherlin, OR 97479-9812
Phone: (541) 543-2323

Authorised official

Name: Kristin Bunch
Title: Director of Contracting/Cred
Phone: (503) 953-0357

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Other Pain Medicine providers in Oregon →

Registry record

NPI: 1215898564
Entity type: Organization
NPI issued: 18 Nov 2025
Record last updated: 18 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.