Northwest Pain Institute

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

NORTHWEST PAIN INSTITUTE

Practice address

2005 Cedar St
Forest Grove, OR 97116-1701

Phone

(503) 883-8297

NPI assigned

Jun 17, 2020

Organization subpart

No

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

Authorized official

Name

Trevor Jorgensen, MDNPI 1639303597

Title

MD/Owner

Phone

(503) 883-8297

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Trevor Dee Jorgensen, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Forest Grove, OR
  • NPI 1639303597
  Medicare reassignment Care Compare group NPD Authorized official
• Michaela Roxana Westover, FNP-BC

  • Family Nurse Practitioner
  • Forest Grove, OR
  • NPI 1649987413
  Medicare reassignment Care Compare group NPD
• Jamie Sue Pease, PA-C

  • Physician Assistant
  • Salem, OR
  • NPI 1528640174
  Medicare reassignment
• Alberto Rodriguez, P.A.

  • Physician Assistant
  • Vancouver, WA
  • NPI 1396993556

  OR

  Medicare reassignment

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1427674324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 CEDAR ST",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161701",
            "telephone_number": "503-883-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 CEDAR ST",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161701",
            "telephone_number": "503-883-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PAIN INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "JORGENSEN",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "503-883-8297",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Lynn Negrila, PT
• Gregory Alan Nemchick, DMD
• Sarah New, MPT
• CHI Nguyen
• Khanh-Uyen Tina Huu Nguyen, PA
• Caitlin Odonnell
• Joseph Oelfke, PT, DPT
• Jennifer Olds, RN / BSN, MBA,
• Amanda Michelle Olsen
• Scott Curtis Olson

• Pain Clinic/Center in Forest Grove, OR
• Providers in Forest Grove, OR by specialty
• Pain Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.