Active NPI
Washington Center for Pain Management LLC
Doing business as Oregon Pain Center
- Pain Medicine (Anesthesiology) Physician
- Portland, OR
National Provider Identifier
1558751958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- WASHINGTON CENTER FOR PAIN MANAGEMENT LLC
- Doing business as
- Oregon Pain Center
- Practice address
- 11786 SW Barnes Rd
Suite 270
Portland, OR 97225-5929 - Phone
- (503) 828-9569
- Fax
- (503) 828-9056
- NPI assigned
- Jan 23, 2015
- Last updated
- Apr 24, 2015
- 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
- Jae Lee
- Title
- Ceo
- Phone
- (425) 774-1538
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
11786 SW Barnes Rd
Suite 270
Portland, OR 97225-5929
Mailing address
PO Box 827
Bellevue, WA 98009-0827
Phone (425) 774-1538
Other names 1
- Oregon Pain Center
National Provider Directory
National Provider DirectoryLocations
11750 SW Barnes Rd
Ste 270
Portland, OR 97225
Phone (503) 654-5636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429833600000",
"number": "1558751958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 827",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980090827",
"telephone_number": "425-774-1538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11786 SW BARNES RD",
"address_2": "SUITE 270",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255929",
"telephone_number": "503-828-9569",
"fax_number": "503-828-9056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASHINGTON CENTER FOR PAIN MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-23",
"last_updated": "2015-04-24",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "JAE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "425-774-1538"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Oregon Pain Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.