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Pacific Sports and Interventional Spine, LLC

Interventional Pain Medicine Physician in Eugene, OR · enumerated 2018 · authorized official Leslie Rea, Practice Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1881186336

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Registry record

Entity type Organization (Type 2)
Legal business name Pacific Sports and Interventional Spine, LLC
Other name <Unavail>
Practice address 217 Division Ave, Eugene, OR, 97404
Phone (541) 686-3791
Fax (541) 686-3795
Enumeration date May 31, 2018
Last updated in NPPES Jun 1, 2026

Taxonomy & classification

208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians · License MD27887 (OR) Primary
208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians · License MD28629 (OR) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA00800 (OR) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA00420 (OR) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA152998 (OR) Secondary

Authorized official

Name Leslie Rea
Title Practice Manager
Phone (541) 743-9003

Other identifiers

Identifier Type State Issuer
500632183 Medicaid OR -
244117 Medicaid OR -
500604467 Medicaid OR -
500608609 Medicaid OR -
500624453 Medicaid OR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Pacific Sports and Interventional Spine, LLC?
The NPI for Pacific Sports and Interventional Spine, LLC is 1881186336, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Pacific Sports and Interventional Spine, LLC?
NPPES lists Leslie Rea (Practice Manager) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-01.