Rose City Pain Relief LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

ROSE CITY PAIN RELIEF LLC

Doing business as

Portland Pain Relief

Practice address

10151 SE Sunnyside Rd Ste 315
Clackamas, OR 97015-5717

Phone

(808) 234-9999

NPI assigned

Dec 15, 2023

Last updated

Dec 15, 2023By 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. David Birdsall, DCNPI 1851563217

Title

President

Phone

(808) 234-9999

Specialties & licenses 1

Addresses

Other names 1

• Portland Pain Relief Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 4

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.

• Lauren Kmiechick

  • Nurse Practitioner
  • Federal Way, WA
  • NPI 1497376115

  OR

  Medicare reassignment Care Compare group NPD
• Alexey A Ryskin, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Richland, WA
  • NPI 1366457236

  OR

  Medicare reassignment Care Compare group NPD
• Terrianna C. Emerson, PA-C

  • Surgical Physician Assistant
  • Renton, WA
  • NPI 1235758103

  OR

  Medicare reassignment Care Compare group
• David M Birdsall, D.C.

  • Chiropractor
  • Seattle, WA
  • NPI 1851563217
  NPD Authorized official

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1396513776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 BRONZEWOOD DR",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927824322",
            "telephone_number": "808-234-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 SE SUNNYSIDE RD STE 315",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155717",
            "telephone_number": "808-234-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE CITY PAIN RELIEF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "BIRDSALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-234-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portland Pain Relief",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Rood, D.O.
• Katherine Roose, CPNP
• Daniel C. Root, M.D.
• Shea O'Donnell Root, M.A.
• Rose City Dialysis, LLC (Fresenius Medical Care Clackamas)
• Barbara Sue Rose, LPC
• Tyler Richard Rose, LMT
• Geoffrey Howard Rosen, MD
• Alan Richard Rosenfeld, M.D.
• Justin E Rosenfeld, M.D.

• Pain Medicine (Anesthesiology) Physician in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Pain Medicine (Anesthesiology) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.