CARLOS CEBALLOS, MD (NPI# 1639392269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639392269 |
| Entity Type | Organization |
| Organization Name | CARLOS CEBALLOS, MD |
| Practice Address |
10373 Ne Hancock St Ste 216 Portland OR 97220-3873 |
| Mailing Address |
Po Box 53 Gladstone OR 97027-0053 |
| Practice Telephone | 5036504359 |
| Practice Fax Number | 5036506913 |
| Mailing Telephone | 5036504359 |
| Mailing Fax Number | 5036506913 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CARLOS CEBALLOS (OWNER) |
| Authorized Official Telephone | 5036504359 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
10373 NE HANCOCK ST STE 216 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-3873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
| 1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
| 1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
| 1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
| Find all providers in zip 97220 | ||||
| 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 |
|---|---|---|---|---|
| 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.