Pacific Spine Specialists, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD15842 Issued in OR

Legal business name

PACIFIC SPINE SPECIALISTS, LLC

Practice address

19260 SW 65TH Ave Ste 270
Tualatin, OR 97062-5705

Phone

(503) 885-9391

Fax

(503) 783-0909

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Faye L Kaiser

Title

Bookkeeper

Phone

(503) 783-0201

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1740311679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19260 SW 65TH AVE STE 270",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970625705",
            "telephone_number": "503-885-9391",
            "fax_number": "503-783-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19260 SW 65TH AVE STE 270",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970625705",
            "telephone_number": "503-885-9391",
            "fax_number": "503-783-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SPINE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "FAYE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "503-783-0201",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD15842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241875",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pacific Cataract and Laser Institute, Inc., P.C.
• Pacific Eye Group, PC
• Pacific Heart Associates, P.C.
• Pacific Medicine Consulting LLC
• Pacific Northwest Renal Services, L.L.C.
• Pacot, Inc.
• Shannon Ramsay Padilla, CNM
• Michael Royce Paling, MD
• Sandra Kay Palmer, RPH
• Tawna Renee Pangborn, FNP

• Specialist in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.