Pain Institute of Oregon

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD19519 Issued in OR

Legal business name

PAIN INSTITUTE OF OREGON

Practice address

527 SE Cesar E Chavez Blvd
Portland, OR 97214-3214

Phone

(503) 238-7246

Fax

(503) 238-7248

NPI assigned

Jun 18, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Carl C Balog, M.D.

Title

Medical Director

Phone

(503) 238-7246

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1871814301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 SE CESAR E CHAVEZ BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143214",
            "telephone_number": "503-238-7246",
            "fax_number": "503-238-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 SE CESAR E CHAVEZ BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143214",
            "telephone_number": "503-238-7246",
            "fax_number": "503-238-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN INSTITUTE OF OREGON",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-18",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "BALOG",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "503-238-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD19519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "074062",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paige Beard, LPC, PC
• Jasmina Pailet
• Steven L. Pailet, D.O.
• Pain and Injury Medical Group Inc
• Pain Associates PC (Oregon Pain Associates)
• Pain Management Facility, LLC
• Erik Johnson-Saint Paine, OD
• May Paing, MD
• Courtney Painter, CRM, CADC-R
• Naomi Painter

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.