ADVANCED PAIN MANAGEMENT CENTER (NPI# 1467773663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467773663 |
| Entity Type | Organization |
| Organization Name | ADVANCED PAIN MANAGEMENT CENTER |
| Practice Address |
10305 Sw Park Way Ste 300 Portland OR 97225-5028 |
| Practice Telephone | 5035959001 |
| Practice Fax Number | 5032950731 |
| Mailing Telephone | 5035959001 |
| Mailing Fax Number | 5032950731 |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2010-06-22 |
| Authorized Official Name | KAREN WOOD (ADMINISTRATOR) |
| Authorized Official Telephone | 5055959001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | OR | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | ADVANCED PAIN MANAGEMENT CENTER L.L.C. | 9717 Prairie Ave, Highland, IN 46322 |
| Oregon Corporations, Companies and Business Names | ADVANCED PAIN MANAGEMENT CENTER, P.C. | 10305 Sw Park Way Ste 300, Portland, OR 97225 |
| Indiana Business Entities | ADVANCED PAIN MANAGEMENT CENTER, PSC | 1170 E Broadway, Ste 300, Louisville, KY 40204 |
| Street Address |
10305 SW PARK WAY STE 300 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418333 | Vladimir B. Fiks | Pain Medicine | 10305 Sw Park Way, Ste 300, Portland, OR 97225-5033 | 2005-06-22 |
| 1982077335 | Synergy Spine Therapy Inc | Clinic/Center | 10305 Sw Park Way, Ste. 201, Portland, OR 97225-5011 | 2015-11-06 |
| 1073853974 | Parkway Toxicology LLC | Clinical Medical Laboratory | 10305 Sw Park Way, Ste 202, Portland, OR 97225-5033 | 2013-03-01 |
| 1063743748 | Brian James Kitzerow | Physical Therapist | 10305 Sw Park Way, #300, Portland, OR 97225-5028 | 2010-01-20 |
| 1477733590 | Sw Rehab Associates LLC | Clinic/Center | 10305 Sw Park Way, Suite 200, Portland, OR 97225-5028 | 2007-11-06 |
| 1952430944 | Emily Ann Celner | Specialist/Technologist | 10305 Sw Park Way, 300, Portland, OR 97225-5011 | 2007-03-05 |
| 1841274362 | Lee Rourke O'connor | Physical Therapist | 10305 Sw Park Way, Portland, OR 97225-5011 | 2005-11-30 |
| 1578563086 | Neal James Rendleman | Internal Medicine | 10305 Sw Park Way, Portland, OR 97225 | 2005-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730794181 | Wound Pros Oregon | Durable Medical Equipment & Medical Supplies | 10260 Sw Greenburg Road 4th Floor, Portland, OR 97223-5500 | 2020-09-12 |
| 1881209385 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12555 Nw Cornell Rd, Portland, OR 97229-5683 | 2020-09-11 |
| 1184260325 | Pacific O&p LLC | Durable Medical Equipment & Medical Supplies | 1050 Sw 6th Ave Ste 1100, Portland, OR 97204-1153 | 2019-11-22 |
| 1508417247 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 165 Lancaster St Ste P, Portland, ME 04101-2406 | 2019-09-24 |
| 1386294379 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8145 Se 17th Ave, Portland, OR 97202-6718 | 2019-09-12 |
| 1346899721 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 345 Sw Harrison St, Portland, OR 97201-5364 | 2019-09-09 |
| 1841753050 | Regional Home Care Inc. | Durable Medical Equipment & Medical Supplies | 190 Riverside St Unit 2b, Portland, ME 04103-1073 | 2019-04-14 |
| 1154889137 | Julie Marie Conaway | Durable Medical Equipment & Medical Supplies | 1302 Wildcat Dr, Portland, TX 78374-2812 | 2019-03-08 |
| 1225503188 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3036 Ne Martin Luther King Jr Blvd Ste 136, Portland, OR 97212-3053 | 2018-10-08 |
| 1588140321 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3031 Se Powell Blvd, Portland, OR 97202-1955 | 2018-07-16 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.