Pacific Pain Management PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

16764 Issued in OR

Legal business name

PACIFIC PAIN MANAGEMENT PC

Practice address

6542 SE Lake Rd Ste 202
Milwaukie, OR 97222-2245

Phone

(503) 654-5636

Fax

(503) 654-5638

NPI assigned

Sep 26, 2008

Organization subpart

No

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

Authorized official

Name

Cindy Smith

Title

Director

Phone

(503) 654-5636

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1649420548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6542 SE LAKE RD STE 202",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222245",
            "telephone_number": "503-654-5636",
            "fax_number": "503-654-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6542 SE LAKE RD STE 202",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222245",
            "telephone_number": "503-654-5636",
            "fax_number": "503-654-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PAIN MANAGEMENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-654-5636"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OR",
            "license": "16764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Outside in
• Sarah Owens, AUD
• Angela Dmitriyevna Ozeruga, D.C.
• Natalie Pace
• Pacific Crest Trail Detox LLC
• Kevin Reed Packham, DMD
• Adriana Padilla
• Chantel Page
• Alexander Pak, COTA
• Alisha Marie Palmer, COTA

• Interventional Pain Medicine Physician in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Interventional Pain Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.