Columbia Pain And Spine Institute

LBN: Columbia Pain And Spine Institute
Columbia Pain And Spine Institute is an health care organization with primary practice located at 689 Nw Burnside Road , Gresham OR 97030. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Ambulatory Health Care Facilities / Pain. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Columbia Pain And Spine Institute can be contacted via phone (503) 382-8100, or through Maksimov, Oleg via phone (503) 915-9217.

Contact Information

Primary practice address
689 Nw Burnside Road Gresham OR 97030
Phone: (503) 382-8100
Fax: (503) 382-8120
Website:
Map and Directions
Authorized official contact:
Name: Maksimov, Oleg Doctor of Medicine (MD)
Phone: (503) 915-9217

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Ambulatory Health Care Facilities / Pain 261QP3300X MD 28526 Oregon
Ambulatory Health Care Facilities / Pain 261QP3300X MD60054432 Washington

Profile Details

NPI number 1972813962
LBN Legal business name Columbia Pain And Spine Institute
DBA Doing business as
Authorized official Maksimov, Oleg Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 8th, 2010
Last updated May 23rd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972813962 NPPES
Oregon MEDICAID 500632340

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