COLUMBIA PAIN AND SPINE INSTITUTE (NPI# 1821341223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821341223 |
| Entity Type | Organization |
| Organization Name | COLUMBIA PAIN AND SPINE INSTITUTE |
| Practice Address |
831 Nw Council Dr #300 Gresham OR 97030 |
| Practice Telephone | 5033828100 |
| Practice Fax Number | 5033828120 |
| Mailing Telephone | 5033828100 |
| Mailing Fax Number | 5033828120 |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2012-10-23 |
| Authorized Official Name | MRS. PAMELA J BLANCHARD (BUSINESS OFFICE MGR) |
| Authorized Official Telephone | 5033828152 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLUMBIA PAIN AND SPINE INSTITUTE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 38D2018576 | OR | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | BLUE CROSS | 00851 | 01 |
| OR | 500632340 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972813962 | Columbia Pain and Spine Institute | Clinic/Center | 689 Nw Burnside Road, Gresham, OR 97030 | 2010-10-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | COLUMBIA PAIN AND SPINE INSTITUTE, PC | 689 Nw Burnside Rd, Gresham, OR 97030 |
| Street Address |
831 NW COUNCIL DR #300 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992798169 | Timothy L Kelly | Anesthesiology | 831 Nw Council Dr, Suite 300, Gresham, OR 97030-3721 | 2005-08-23 |
| 1750643060 | John C. Anderson, M.d., P.C. | Orthopaedic Surgery | 831 Nw Council Dr, Suite 130, Gresham, OR 97030-3721 | 2012-06-12 |
| 1053699645 | Whitney Blaire Fancher | Dermatology | 831 Nw Council Dr, Suite 301, Gresham, OR 97030-3721 | 2011-07-30 |
| 1386897809 | Maria S Kling | Nurse Practitioner | 831 Nw Council Dr, Suite 101, Gresham, OR 97030-3721 | 2008-10-28 |
| 1932376894 | Sarah Schultz | Internal Medicine | 831 Nw Council Dr, Suite 125, Gresham, OR 97030-3721 | 2008-05-09 |
| 1649442476 | Melanie Marie Falgout | Family Medicine | 831 Nw Council Dr, Suite 125, Gresham, OR 97030-3721 | 2008-04-01 |
| 1639352594 | Rose City Breast Care, LLC | Surgery | 831 Nw Council Dr, Suite 301, Gresham, OR 97030-3721 | 2007-12-13 |
| 1851587364 | Grayden Woodruff King | Podiatrist | 831 Nw Council Dr, Ste 203, Gresham, OR 97030-3721 | 2007-09-18 |
| 1720278633 | Karen Shaw | Nurse Practitioner | 831 Nw Council Dr, Suite 300, Gresham, OR 97030-3721 | 2007-07-26 |
| 1497954994 | Maryellen Hibbard | Nurse Practitioner | 831 Nw Council Dr, Suite 300, Gresham, OR 97030-3721 | 2007-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306125778 | Integrated Labs | Clinical Medical Laboratory | 24076 Se Stark St Ste 320, Gresham, OR 97030-3386 | 2011-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881483 | True Diagnostics | Clinical Medical Laboratory | 1122 Ne 122nd Ave Ste B-102, Portland, OR 97230-2081 | 2020-08-14 |
| 1497363543 | Laboratory Corporation of America | Clinical Medical Laboratory | 4212 Ne Broadway Rm L100, Portland, OR 97213-1422 | 2020-07-15 |
| 1245881721 | Laboratory Corporation of America | Clinical Medical Laboratory | 3896 Beverly Ave Ne Bldg J Ste 40, Salem, OR 97305-1374 | 2019-09-25 |
| 1215594270 | Emerald National Laboratory LLC | Clinical Medical Laboratory | 1710 Willow Creek Cir Ste 174, Eugene, OR 97402-9192 | 2019-05-24 |
| 1568927903 | Alerra, LLC | Clinical Medical Laboratory | 618 Nw 12th Ave Apt 412, Portland, OR 97209-3031 | 2019-02-08 |
| 1831664515 | A Worksafe Service, Inc. | Clinical Medical Laboratory | 1696 Capitol St Ne, Salem, OR 97301-7855 | 2018-10-09 |
| 1568980555 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 217 Division Ave Ste A, Eugene, OR 97404-5429 | 2017-08-30 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1255703245 | Guidant Toxicology LLC | Clinical Medical Laboratory | 3329 Wintercreek Ct, Eugene, OR 97405-6238 | 2015-10-29 |
| 1275905473 | Precision Laboratories LLC | Clinical Medical Laboratory | 1720 Willow Creek Cir, Suite 525 B, Eugene, OR 97402-9171 | 2015-10-27 |
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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.