Healthcare Provider Details

I. General information

NPI: 1477441467
Provider Name (Legal Business Name): VITAL PAIN SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2025
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 CROSBY AVE STE B
KLAMATH FALLS OR
97603-5700
US

IV. Provider business mailing address

2800 CROSBY AVE STE B
KLAMATH FALLS OR
97603-5700
US

V. Phone/Fax

Practice location:
  • Phone: 541-205-3364
  • Fax: 541-205-3379
Mailing address:
  • Phone: 541-205-3364
  • Fax: 541-205-3379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. BRANDON SNOWDY
Title or Position: MEMBER
Credential: DC
Phone: 541-205-3364