NPI 1639392269

Carlos Ceballos, MD

Organisation Pain Medicine Physician Portland, OR

Practice location

Address: 10373 NE Hancock St STE 216, Portland, OR 97220-3873
Phone: (503) 650-4359
Fax: (503) 650-6913
Mailing address: PO Box 53, Gladstone, OR 97027-0053

Authorised official

Name: Carlos Ceballos
Title: Owner
Phone: (503) 650-4359

Registered specialties

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X

Other Pain Medicine providers in Oregon →

Registry record

NPI: 1639392269
Entity type: Organization
NPI issued: 11 Apr 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.