Spine Intervention Clinic, P.C.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

MD20637 Issued in OR

Legal business name

SPINE INTERVENTION CLINIC, P.C.

Practice address

512 7TH Street
Oregon City, OR 97045-1853

Phone

(503) 742-0632

Fax

(503) 387-3106

NPI assigned

Jan 16, 2008

Organization subpart

No

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

Authorized official

Name

Michael Bespaly, MD

Title

President

Phone

(503) 742-0632

Specialties & licenses 1

Addresses

Other names 1

• Michael Bespaly, MD Doing business as

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1972789204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1836",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970450836",
            "telephone_number": "503-742-0632",
            "fax_number": "503-387-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 7TH STREET",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451853",
            "telephone_number": "503-742-0632",
            "fax_number": "503-387-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE INTERVENTION CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "BESPALY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-742-0632",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OR",
            "license": "MD20637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Bespaly, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Erik Spencer, RPH
• Eleni Speropulos
• Elizabeth Spiers
• Martha L Spiers, LCSW
• Christine A Spilotro, RN
• Raini Spitze, D.D.S.
• Kathryn St Clair
• Julia B St Lawrence, CNM
• Jarrett Zachry St. Clair
• Marcella R Stafford

• Pain Medicine (Anesthesiology) Physician in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Pain Medicine (Anesthesiology) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.