Compass Pain Clinic Oregon PC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

COMPASS PAIN CLINIC OREGON PC

Practice address

1410 SW Jefferson St
Portland, OR 97201-2548

Phone

(503) 887-2209

NPI assigned

Nov 8, 2024

Organization subpart

No

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

Authorized official

Name

Randolph Cribbs, MDNPI 1770675563

Title

Owner

Phone

(971) 224-5340

Specialties & licenses 1

Addresses

Other names 1

• Compass Pain & Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Tax ID family

Compass Pain and Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Compass Pain Clinic Oregon PC

  • Interventional Pain Medicine Physician
  • Portland, OR
  • NPI 1235953654
  NPD tax ID

Practitioners 2

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

• Randolph K Cribbs, MD

  • Surgery Physician
  • Clackamas, OR
  • NPI 1770675563
  Medicare reassignment Care Compare group NPD Authorized official
• Carl Csaba Balog, MD

  • Interventional Pain Medicine Physician
  • Portland, OR
  • NPI 1447287636
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1225852007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 SW JEFFERSON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972012548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 SW JEFFERSON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972012548",
            "telephone_number": "503-887-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS PAIN CLINIC OREGON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-08",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "CRIBBS",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-224-5340",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compass Pain & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Compass Pain & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Community Nurse Consulting, Inc
• Community Nurse Consulting, Inc
• Community Services, Inc.
• Amanda Compadre, MD
• Compass Counseling NW, LLC
• Compass Pain Clinic Oregon PC
• Compassionate Care & Staffing LLC
• Compassionate Care Counseling Services
• Compassionate Care Counseling Services
• Compassionate Care Physical Therapy, LLC

• Pain Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Pain Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.