Pacific Sports and Interventional Spine, LLC
NPI 1881186336ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Springfield, OR
Pain Medicine, Interventional Pain Medicine in Springfield, Oregon, registered in NPPES in May 2018. The authorized official on file is Leslie Rea, Practice Manager. Enrolled in Medicare as dme supplier - physician - general practice and part b supplier - clinic/group practice.
Overview
| NPI | 1881186336 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 31, 2018 |
| Last updated in NPPES | Jul 21, 2026 |
| Certified by provider | Jul 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Interventional Pain Medicine Primary | 208VP0014X | MD27887 | OR |
| Pain Medicine, Interventional Pain Medicine | 208VP0014X | MD28629 | OR |
| Physician Assistant | 363A00000X | PA00800 | OR |
| Physician Assistant | 363A00000X | PA00420 | OR |
| Physician Assistant | 363A00000X | PA152998 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - General Practice (OR); Part B Supplier - Clinic/Group Practice (OR) |
|---|
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