Provider Demographics
NPI:1548153265
Name:FALL CREEK PAIN MANAGEMENT - EUGENE LLC
Entity type:Organization
Organization Name:FALL CREEK PAIN MANAGEMENT - EUGENE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEO
Authorized Official - Middle Name:
Authorized Official - Last Name:CYTRYNBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:541-228-6427
Mailing Address - Street 1:31772 OWL RD
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-9547
Mailing Address - Country:US
Mailing Address - Phone:541-228-6427
Mailing Address - Fax:
Practice Address - Street 1:920 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-6024
Practice Address - Country:US
Practice Address - Phone:541-228-6427
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty