Individual provider Active NPI

Howard Lee Grattan, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Gresham, OR
National Provider Identifier
1902973266
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
MD152830 Issued in OR
Practice address
689 NW Burnside Rd
Gresham, OR 97030-3739
Phone
(801) 849-2622
Fax
(801) 849-2622
NPI assigned
Nov 29, 2006
Last updated
Feb 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A87243 CA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MD152830 OR Primary

Addresses

Primary practice location

689 NW Burnside Rd
Gresham, OR 97030-3739

Mailing address

689 NW Burnside Rd # 689
Gresham, OR 97030-3739
Phone (503) 382-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110928000893 OR Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 5597855304 Reassigns benefits to 2 organizations
I20161003002504 WA Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 5597855304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
Loma Linda University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Spine and Pain Medicine PLLCGroup PAC ID 5799972212, 15 clinicians

Practice addresses (Care Compare)

5901 N Lidgerwood St
Suite 218
Spokane, WA 99208-1122
Phone (509) 464-6208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Spine and Pain Medicine, PLLC CurrentSince Oct 1, 2016 Accepting new patients
Pain Care Specialists of Oregon, LLC CurrentSince Jan 19, 2026 Accepting new patients
Burnside Surgery Center LLC Pain Medicine PastSince May 1, 2018 Accepting new patients
Rare Wellness PastSince Oct 23, 2022 Accepting new patients
A & a Pain Institute Past Accepting new patients
Selkirk Interventional Pain Physicians PLLC Past Accepting new patients

Locations

2480 Liberty St NE
Ste 180
Salem, OR 97301
Phone (503) 371-1010

105 W 8th Ave
Ste 250
Spokane, WA 99204
Phone (509) 464-6208

3124 S Regal St
Spokane, WA 99223
Phone (509) 464-6208

5901 N Lidgerwood St
Ste 218
Spokane, WA 99208
Phone (509) 464-6208

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/CACHAA

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1902973266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 NW BURNSIDE RD # 689",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303739",
            "telephone_number": "503-382-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 NW BURNSIDE RD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303739",
            "telephone_number": "801-849-2622",
            "fax_number": "801-849-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRATTAN",
        "first_name": "HOWARD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A87243",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "OR",
            "license": "MD152830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

Verify at the official NPI Registry.