NW HEADACHE AND WELLNESS INSTITUTE PC (NPI# 1134368616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134368616 |
| Entity Type | Organization |
| Organization Name | NW HEADACHE AND WELLNESS INSTITUTE PC |
| Practice Address |
11786 Sw Barnes Rd Bldg D Ste 140 Portland OR 97225-5925 |
| Practice Telephone | 5036010300 |
| Practice Fax Number | 5036010304 |
| Mailing Telephone | 5036010300 |
| Mailing Fax Number | 5036010304 |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2009-09-24 |
| Authorized Official Name | DALE M CARTER (PRESIDENT) |
| Authorized Official Telephone | 5036010300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
11786 SW BARNES RD BLDG D STE 140 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5925 |
| 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 | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639392269 | Carlos Ceballos, Md | Pain Medicine | 10373 Ne Hancock St Ste 216, Portland, OR 97220-3873 | 2007-04-11 |
| 1760529218 | Raskal Enterprises, PC | Pain Medicine | 3334 Ne 29th Ave, Portland, OR 97212-2536 | 2007-01-31 |
| 1649555145 | Frida Center LLC | Pain Medicine | 6400 Sw Canyon Ct, Ste 100, Portland, OR 97221-1461 | 2011-10-15 |
| 1760531339 | Advanced Pain Management Center PC | Pain Medicine | 10305 Sw Park Way Ste 300, Portland, OR 97225-5033 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932535390 | Summit Health Solutions | Pain Medicine | 2364 Main St, Suite A, Philomath, OR 97370-9488 | 2013-09-17 |
| 1053744524 | Christopher Jason Smith | Pain Medicine | 545 Sw 2nd St, Ste 200, Corvallis, OR 97333-4466 | 2013-08-19 |
| 1952663528 | Jack Edward Berndt | Pain Medicine | 1957 Thompson Rd, Ste. F, Coos Bay, OR 97420-2031 | 2012-06-11 |
| 1467718908 | Katarzyna Barbara Iwan | Pain Medicine | 9925 Sw Nimbus Ave, #100, Beaverton, OR 97008-7591 | 2012-04-10 |
| 1023237104 | Pain Mangement Partners, LLC | Pain Medicine | 2401 River Rd, Suite 101, Eugene, OR 97404-5414 | 2007-04-25 |
| 1376610915 | William B Croson | Pain Medicine | 790 E 5th St, Coquille, OR 97423-1755 | 2006-11-29 |
| 1518054097 | Christopher F. Amsden | Pain Medicine | 94220 4th St, Gold Beach, OR 97444-7756 | 2006-10-06 |
| 1902904501 | James Robert Morris | Pain Medicine | 2401 River Rd, Suite 101, Eugene, OR 97404-5414 | 2006-09-20 |
| 1639120801 | Peter S Kosek | Pain Medicine | 3377 Riverbend Dr, Springfield, OR 97477 | 2006-05-13 |
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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.