Columbia Pain and Spine Institute
Columbia Pain and Spine Institute is a Physical Medicine & Rehabilitation Physician in Gresham, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2010.
- Licensed in
- OR, WA
- In the registry since
- 2010
- Specialties on file
- 3
Practice location Address checks out
689 NW Burnside RdGresham, OR 97030
Phone: (503) 382-8100
Fax: (503) 382-8120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X |
|---|---|
| Pain Clinic/Center | Taxonomy 261QP3300X · Licence MD 28526 (OR) |
| Pain Clinic/Center | Taxonomy 261QP3300X · Licence MD60054432 (WA) |
Record details
| NPI number | 1972813962 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Oleg Maksimov — President · (503) 915-9217 |
| NPI enumerated | October 8, 2010 |
| Last updated in NPPES | May 23, 2021 |
| Certification date | May 23, 2021 |
| Mailing address | 689 Nw Burnside Road, Gresham, OR 97030-8014 |
Other providers in Gresham
-
Oleg Maksimov, MD
689 NW Burnside Rd Fl 2, Gresham, OR 97030-3739 · (503) 382-8106