OREGON SPINE CARE LLC NPI 1376972182

NPI Information

  • NPI: 1376972182
  • Provider Name: OREGON SPINE CARE LLC
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Organization
  • Doing Business As: OREGON SPINE CARE
  • Address: 19255 SW 65TH AVE
    SUITE 200
    TUALATIN, OR
    ZIP 97062
  • Phone: (503) 828-1150

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NPI Details

OREGON SPINE CARE LLC is an orthopaedic surgery of the spine orthopaedic surgery in Tualatin, OR. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. OREGON SPINE CARE LLC NPI is 1376972182. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Oregon Spine Care.

The provider's business location address is:

19255 SW 65TH AVE
SUITE 200
TUALATIN, OR
ZIP 97062-451
Phone: (503) 828-1150
Fax: (503) 828-1160

The provider's authorized official is Robert L Tatsumi .
The authorized official title is Owner and has the following contact phone number (503) 828-1150.

The enumeration date for this NPI number is 11/2/2013 and was last updated on 10/1/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineMD26166OREGONYes

What is NPI?

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This page was last updated on: 11/21/2025

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