Oregon Interventional Pain Consultants, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD13567 Issued in OR

Legal business name

OREGON INTERVENTIONAL PAIN CONSULTANTS, LLC

Doing business as

Oregon Interventional Pain Consultants, LLC

Practice address

1849 NW Kearney St
Suite 201
Portland, OR 97209-1453

Phone

(503) 477-5205

NPI assigned

May 3, 2016

Last updated

Jun 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stuart Rosenblum, MD, PHDNPI 1144285982

Title

Owner

Phone

(503) 477-5205

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Oregon Interventional Pain Consultants, LLC Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stuart M Rosenblum, MD, PHD

  • Pain Medicine (Anesthesiology) Physician
  • Portland, OR
  • NPI 1144285982
  NPD (past) Authorized official
• Shea Mertens Deklotz, PA-C

  • Surgical Physician Assistant
  • Portland, OR
  • NPI 1679819239
  NPD (past)

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1114372653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 NW KEARNEY ST",
            "address_2": "SUITE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091453",
            "telephone_number": "503-477-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 NW KEARNEY ST",
            "address_2": "SUITE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091453",
            "telephone_number": "503-477-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON INTERVENTIONAL PAIN CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "ROSENBLUM",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-477-5205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OR",
            "license": "MD13567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284083",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Interventional Pain Consultants, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oregon Healthcare Resources LLC (GreenField Health)
• Oregon Healthcare Resources LLC (Family Medical Group NE)
• Oregon Home Care Services LLC (Fedelta Home Care)
• Oregon Injection Clinic
• Oregon Injury Evaluation Provider (Oregon Accident Care)
• Oregon Kidney and Hypertension Clinic LLC
• Oregon Kidney and Hypertension Clinic, LLC
• Oregon Kidney Center
• Oregon Limb & Brace LLC
• Oregon MD Alliance LLC (Precision Pain Center)

• Medical Specialty Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Medical Specialty Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.