Active NPI
Portland Ortho Pain & Spine LLC
- Orthopaedic Surgery of the Spine Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- Legal business name
- PORTLAND ORTHO PAIN & SPINE LLC
- Practice address
- 10415 SE Stark St Ste F
Portland, OR 97216-2764 - Phone
- (702) 630-3472
- NPI assigned
- Aug 9, 2023
- Last updated
- Aug 9, 2023
- 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
- Andrew M Cash, MD
- Title
- Provider
- Phone
- (775) 309-4761
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | Primary |
Addresses
Primary practice location
10415 SE Stark St Ste F
Portland, OR 97216-2764
Mailing address
10415 SE Stark St Ste F
Portland, OR 97216-2764
National Provider Directory
National Provider DirectoryLocations
10415 SE Stark St
Ste F
Portland, OR 97216
Phone (503) 206-4814
Practitioners & affiliated clinicians
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.
-
- Orthopaedic Surgery Physician
- Las Vegas, NV
- NPI 1689784852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691539200000",
"number": "1679256358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10415 SE STARK ST STE F",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10415 SE STARK ST STE F",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162764",
"telephone_number": "702-630-3472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORTLAND ORTHO PAIN & SPINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-09",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A",
"authorized_official_last_name": "CASH",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "775-309-4761",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
- Portland Oculoplastics, PC
- Portland of Cascadia LLC (Secora Rehabilitation of Cascadia)
- Portland of Olympus, LLC
- Portland Opportunities Industrialization Center, Inc.
- Portland Oral and Facial Surgery
- Portland Orthodontic Group (Yaillen Orthodontic Group)
- Portland Orthodontic Group, LLC
- Portland Orthopedic Services P.C.
- Portland Orthopedic Surgery Center LLC
- Portland Otologic Clinic PC (John M Epley MD)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.