Ceballos, Carlos

Ceballos, Carlos is an individual health care provider with primary practice located at 10300 Ne Hancock St , Portland OR 97220. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Ceballos, Carlos can be contacted via phone (503) 650-4359.

Contact Information

Primary practice address
10300 Ne Hancock St Portland OR 97220
Phone: (503) 650-4359
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD12612 Oregon
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X MD12612 Oregon

Profile Details

NPI number 1396774014
LBN Legal business name Ceballos, Carlos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396774014 NPPES
Oregon MEDICAID 225094

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