Portland Pain Medicine LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PORTLAND PAIN MEDICINE LLC

Practice address

9155 SW Barnes Rd Ste 836
Portland, OR 97225-6635

Phone

(714) 801-2151

NPI assigned

Apr 21, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Behnum Habibi, MDNPI 1548656770

Title

Owner

Phone

(714) 801-2151

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Behnum Habibi, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Portland, OR
  • NPI 1548656770
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1083401582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9155 SW BARNES RD STE 836",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9155 SW BARNES RD STE 836",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256635",
            "telephone_number": "714-801-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND PAIN MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "HABIBI",
        "authorized_official_first_name": "BEHNUM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-801-2151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portland Ortho Pain & Spine LLC
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• Portland Otologic Clinic PC
• Portland Pediatric Acupuncture
• Portland Pediatric Nutrition
• Portland Pediatric Psychology, LLC
• Portland Peritoneal Center, Inc.
• Portland Physical Therapy

• Physical Medicine & Rehabilitation Physician in Portland, OR
• Providers in Portland, OR by specialty
• Physical Medicine & Rehabilitation Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.