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Organization

Pacific Sports and Interventional Spine, LLC

NPI Record: ActivePain Medicine — Interventional Pain Medicine
NPI1881186336
Springfield, Oregon

Provider's NPPES record last updated: July 21, 2026

Overview

Entity Type
Organization
NPI
1881186336
Primary Specialty
Pain Medicine — Interventional Pain Medicine
Practice Location
Springfield, Oregon
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 11:32 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pain Medicine

    Interventional Pain Medicine

    Allopathic & Osteopathic Physicians

    Primary

    Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

    Taxonomy code 208VP0014X
  • Physician Assistant

    Physician Assistants & Advanced Practice Nursing Providers

    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

    Taxonomy code 363A00000X

Provider-Reported License Information

Pain Medicine (Oregon)
MD27887
Pain Medicine (Oregon)
MD28629
Physician Assistant (Oregon)
PA00800
Physician Assistant (Oregon)
PA00420
Physician Assistant (Oregon)
PA152998
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

2445 Beverly St Ste B

Springfield, Oregon 97477-1910

Phone: (541) 686-3791

Other Names

  • Pacific Sports and SpineReported May 31, 2018

Record Information

Enumeration Date
May 31, 2018
Provider's NPPES Record Last Updated
July 21, 2026
Certification Date
July 21, 2026
NPISignal NPPES Dataset
August 2026

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