BALOG REGENERATIVE – NPI #1427321934
Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

BALOG REGENERATIVE is a provider located in TIGARD, OR. NPPES has assigned the NPI number 1427321934 to BALOG REGENERATIVE on February 14, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BALOG REGENERATIVE” is a dba name, the actual legal business name for this organization is PORTLAND PAIN AND SPINE LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

The NPI profile was previously updated about 2 years ago on Feb 22, 2024. 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 BALOG REGENERATIVE below.

NPI Profile for
PORTLAND PAIN AND SPINE LLC

NPI Number
1427321934
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PORTLAND PAIN AND SPINE LLC
Doing Business As (dba): BALOG REGENERATIVE
Primary location
9370 SW GREENBURG RD STE 601
TIGARD, OR 97223-5429
Phone: (503) 238-7246 Fax: (503) 238-7248
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CARL BALOG
OWNER
Phone: (503) 887-2209
Updated
Certification Date
Feb 22, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

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
208VP0014X
- Pain Medicine / Interventional Pain Medicine (Primary)
207LP2900X
- Anesthesiology / Pain Medicine
OR MD19519
207L00000X
- Anesthesiology
OR MD19519

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.