Oregon Pain Clinic, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

OREGON PAIN CLINIC, LLC

Practice address

11750 SW Barnes Rd Ste 270
Portland, OR 97225-5911

Phone

(503) 828-9569

Fax

(503) 828-9056

NPI assigned

Jul 1, 2015

Organization subpart

No

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

Authorized official

Name

Trevor D Jorgensen, MD

Title

Physician

Phone

(503) 828-9569

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525996800000",
    "number": "1871976407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101895",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911891895",
            "telephone_number": "503-828-9569",
            "fax_number": "503-828-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 SW BARNES RD STE 270",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255911",
            "telephone_number": "503-828-9569",
            "fax_number": "503-828-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON PAIN CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2018-05-11",
        "status": "A",
        "authorized_official_last_name": "JORGENSEN",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "503-828-9569",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oregon Medical Evaluations, Inc.
• Oregon Medical Specialists PC
• Oregon Natural Medicine, LLC
• Oregon Outpatient Anesthesia Associates LLC
• Oregon Outreach Inc
• Oregon Pediatrics NE Portland PC
• Oregon Pedorthic Services
• Oregon Pedorthic Services Inc
• Oregon Pedorthic Services, Inc.
• Oregon Physical Therapy & Sports

• Interventional Pain Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Interventional Pain Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.