NORTHWEST PAIN INSTITUTE NPI 1427674324

NPI Information

NPI: 1427674324
Provider Name: NORTHWEST PAIN INSTITUTE
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

CLIA Number: 38D2203728

Address:
2005 CEDAR ST
FOREST GROVE, OR
ZIP 97116
Phone: (503) 883-8297
Get Directions

NORTHWEST PAIN INSTITUTE is a pain clinic center in Forest Grove, OR. NORTHWEST PAIN INSTITUTE NPI is 1427674324. The provider is registered as an organization entity type.

The provider's business location address is:

2005 CEDAR ST
FOREST GROVE, OR
ZIP 97116-701
Phone: (503) 883-8297

The provider's authorized official is Trevor Jorgensen .
The authorized official title is Md/owner and has the following contact phone number (503) 883-8297.

The CLIA number assigned to this NPI record is 38D2203728 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2020 and was last updated on 7/27/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center				No
2	261QP3300X	Clinic/Center	Pain			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »