Comprehensive Pain Clinic of Portland

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

1856 Issued in OR

Legal business name

COMPREHENSIVE PAIN CLINIC OF PORTLAND

Practice address

6105 SW Macadam Ave
Portland, OR 97239-3640

Phone

(503) 244-3389

NPI assigned

Nov 4, 2013

Last updated

Nov 4, 2013By 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. Dean Allen Clark, D.C.NPI 1750327318

Title

Owner

Phone

(503) 244-3389

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Dean Allen Clark, D.C.

  • Sports Physician Chiropractor
  • Portland, OR
  • NPI 1750327318
  NPD (past) Authorized official

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1518396126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 SW MACADAM AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393640",
            "telephone_number": "503-244-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 SW MACADAM AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393640",
            "telephone_number": "503-244-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PAIN CLINIC OF PORTLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-244-3389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OR",
            "license": "1856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Complete Anesthesia Care LLC
• Complex Care Solutions
• Comprehensive Gynecology Associates PC
• Comprehensive Interventional Care Centers, PLLC (Comprehensive Interventional Care Centers, PLLC - Portland)
• Comprehensive Neurosurgical Consultants PC
• Cristen Comptois
• Aaron G Compton, DMD
• Brian G Compton
• Jennifer Raser Compton, LCSW
• Jocelyn T Compton, MD

• Sports Physician Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Sports Physician Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.