Organization Active NPI

Pain and Injury Medical Group Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Portland, OR
National Provider Identifier
1831598259
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
PAIN AND INJURY MEDICAL GROUP INC
Practice address
2440 SE 89TH Ave
Suite 1
Portland, OR 97216-2053
Phone
(503) 477-7700
Fax
(503) 288-4888
NPI assigned
Aug 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Authorized official

Name
Alexis Lee
Title
President
Phone
(503) 477-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

2440 SE 89TH Ave
Suite 1
Portland, OR 97216-2053

Mailing address

2440 SE 89TH Ave
Suite 1
Portland, OR 97216-2053
Phone (503) 477-7700

National Provider Directory

National Provider Directory

Locations

2440 SE 89th Ave
Ste 1
Portland, OR 97216
Phone (503) 477-7700

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1831598259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 SE 89TH AVE",
            "address_2": "SUITE 1",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162053",
            "telephone_number": "503-477-7700",
            "fax_number": "503-288-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 SE 89TH AVE",
            "address_2": "SUITE 1",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162053",
            "telephone_number": "503-477-7700",
            "fax_number": "503-288-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND INJURY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-477-7700"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 21, 2014; 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.