Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Portland Ortho Pain & Spine LLC

Organization Orthopaedic Surgery of the Spine Physician · NPI 1679256358

Portland Ortho Pain & Spine LLC is an Orthopaedic Surgery of the Spine Physician in Portland, Oregon. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10415 SE Stark St Ste F
Portland, OR 97216-2764
Phone: (702) 630-3472
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X

Record details

NPI number1679256358
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Cash — Provider · (775) 309-4761
NPI enumeratedAugust 9, 2023
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023
Mailing address10415 Se Stark St Ste F, Portland, OR 97216-2764

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