Pain Institute of Oregon

NPI #1871814301 in Portland, Oregon

Provider Information

NPI Number: 1871814301
Entity Type: Organization
Organization Name: Pain Institute of Oregon
Primary Specialty: Specialist
Enumeration Date: Jun 18, 2010
Last Updated: Feb 27, 2013

Practice Location

Address: 527 SE CESAR E CHAVEZ BLVD
City: Portland
State: Oregon
ZIP Code: 97214-3214
Phone: (503) 238-7246

Authorized Official

Name: DR. CARL C BALOG, M.D.
Title: MEDICAL DIRECTOR
Phone: (503) 238-7246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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