NPI 1396774014

Carlos Ceballos, MD

Practitioner Pain Medicine Physician Portland, OR

Practice location

Address: 10300 NE Hancock St, Portland, OR 97220
Phone: (503) 650-4359
Mailing address: PO Box 53, Gladstone, OR 97027-0053

Registered specialties (2)

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence MD12612 (OR)

Other Pain Medicine providers in Oregon →

Anesthesiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence MD12612 (OR)

Other Anesthesiology providers in Oregon →

Registry record

NPI: 1396774014
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jul 2006
Record last updated: 11 Sep 2025

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.