OrganizationActive
Oregon Pain Management LLC
NPI 1679936579 · Anesthesiology Physician · Salem, OR
Provider details
- NPI number
- 1679936579
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chonthicha Khomkham, Owner(503) 881-9459
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2480 Liberty St Ne Ste 180
Salem, OR 97301-8388
Phone: (503) 881-9459
Fax: (503) 363-4373
Street-level locationGet directions
Mailing address
2480 Liberty St Ne Ste 180
Salem, OR 97301-8388
Registry dates
- Enumerated
- 2016-03-30
- Last updated
- 2022-05-12
- Certified
- 2022-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.