Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pacific Sports and Interventional Spine, Llc-P

Organization Interventional Pain Medicine Physician · NPI 1215898564

Pacific Sports and Interventional Spine, Llc-P provides Interventional Pain Medicine Physician services in Sutherlin, Oregon. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

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

Record details

NPI number1215898564
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristin Bunch — Director Of Contracting/Cred · (503) 953-0357
NPI enumeratedNovember 18, 2025
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025
Mailing address123 Ponderosa Dr, Sutherlin, OR 97479-9812