Active NPI
Hillsboro Spine and Pain
- Mental Health Counselor
- Hillsboro, OR
National Provider Identifier
1194684563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- HILLSBORO SPINE AND PAIN
- Practice address
- 862 SE Oak St Ste 2a
Hillsboro, OR 97123-4240 - Phone
- (503) 648-6997
- Fax
- (503) 648-0122
- NPI assigned
- Jan 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Marasco
- Title
- Owner
- Phone
- (503) 648-6997
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Chiropractor | 111N00000X | |||
| Registered Dietitian | 133V00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
862 SE Oak St Ste 2a
Hillsboro, OR 97123-4240
Mailing address
862 SE Oak St Ste 2a
Hillsboro, OR 97123-4240
Phone (503) 648-6997
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784592000000",
"number": "1194684563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "862 SE OAK ST STE 2A",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234240",
"telephone_number": "503-648-6997",
"fax_number": "503-648-0122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "862 SE OAK ST STE 2A",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234240",
"telephone_number": "503-648-6997",
"fax_number": "503-648-0122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILLSBORO SPINE AND PAIN",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-20",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A",
"authorized_official_last_name": "MARASCO",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-648-6997"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.