Provider Demographics
NPI:1477092005
Name:EN8 INC.
Entity Type:Organization
Organization Name:EN8 INC.
Other - Org Name:ASPEN PAIN CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JON
Authorized Official - Last Name:CLINE
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:503-364-9242
Mailing Address - Street 1:1707 LANSING AVE NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-8732
Mailing Address - Country:US
Mailing Address - Phone:503-364-9242
Mailing Address - Fax:503-371-5325
Practice Address - Street 1:1707 LANSING AVE NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-8732
Practice Address - Country:US
Practice Address - Phone:503-364-9242
Practice Address - Fax:503-371-5325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-15
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR7586174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty