Provider Type Icon

PAIN INSTITUTE OF OREGON NPI 1871814301


NPI Information

NPI: 1871814301
Provider Name: PAIN INSTITUTE OF OREGON
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
527 SE CESAR E CHAVEZ BLVD
PORTLAND, OR
ZIP 97214
Phone: (503) 238-7246
Get Directions

PAIN INSTITUTE OF OREGON is a specialist in Portland, OR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PAIN INSTITUTE OF OREGON NPI is 1871814301. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

527 SE CESAR E CHAVEZ BLVD
PORTLAND, OR
ZIP 97214-214
Phone: (503) 238-7246
Fax: (503) 238-7248

The provider's authorized official is Carl C Balog .
The authorized official title is Medical Director and has the following contact phone number (503) 238-7246.

The enumeration date for this NPI number is 6/18/2010 and was last updated on 2/27/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistMD19519OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1074062MEDICAIDOREGON
2130869MEDICARE PINOREGON
3F96465MEDICARE UPINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.