Portland Pain and Spine LLC

NPI #1427321934 in Tigard, Oregon

Provider Information

NPI Number: 1427321934
Entity Type: Organization
Organization Name: Portland Pain and Spine LLC
Primary Specialty: Pain Medicine - Interventional Pain Medicine
Enumeration Date: Feb 14, 2012
Last Updated: Feb 22, 2024

Practice Location

Address: 9370 SW GREENBURG RD STE 601
City: Tigard
State: Oregon
ZIP Code: 97223-5429
Phone: (503) 238-7246

Authorized Official

Name: DR. CARL C BALOG, MD
Title: OWNER
Phone: (503) 887-2209

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X
Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine	208VP0014X	Primary

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