RESTORE INTERVENTIONAL SPINE & SPORTS MEDICINE LLC – NPI #1801139019
Physical Medicine & Rehabilitation
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
RESTORE INTERVENTIONAL SPINE & SPORTS MEDICINE LLC is a provider located in BEAVERTON, OR. NPPES has assigned the NPI number 1801139019 to RESTORE INTERVENTIONAL SPINE & SPORTS MEDICINE LLC on April 05, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2081P2900X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Pain Medicine
The NPI profile was previously updated about 10 years ago on Oct 10, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RESTORE INTERVENTIONAL SPINE & SPORTS MEDICINE LLC below.
NPI Profile for
RESTORE INTERVENTIONAL SPINE & SPORTS MEDICINE LLC
(more than 13 years ago)
SUITE 100
BEAVERTON, OR 97008 Phone: (503) 535-8302 Fax: (503) 416-8732
SUITE 100
BEAVERTON, OR 97008 Phone: (503) 535-8302 Fax: (503) 416-8732
OWNER / CEO
Phone: (503) 535-8302
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2081P2900X - Physical Medicine & Rehabilitation / Pain Medicine (Primary) |
OR | DO150752 |
| 2085R0204X - Radiology / Vascular & Interventional Radiology |
OR | MD28444 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.