Active NPI
Pain and Injury Medical Group Inc
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Portland, OR
National Provider Identifier
1831598259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 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 DirectoryLocations
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.