- Practice location
- 15455 NW Greenbrier Pkwy Ste 130, Beaverton, OR 97006
- Phone
- 503-376-9200
- Fax
- 503-376-9201
- Last updated
- June 28, 2018
Cornell Pain Clinic LLC is a healthcare organization based in Beaverton, OR. Cornell Pain Clinic LLC practices in Beaverton, OR. The NPI Number for Cornell Pain Clinic LLC is 1861900516 and holds a License No. MD178982 (OR). The current practice location address for Cornell Pain Clinic LLC is 15455 NW Greenbrier Pkwy Ste 130, Beaverton, OR 97006 and can be reached out via phone at 503-376-9200 and via fax at 503-376-9201.
Provider Profile Details
- NPI Number
- 1861900516
- Provider Name
- Cornell Pain Clinic LLC
- Provider Entity Type
- Organization
- Address
- 15455 NW Greenbrier Pkwy Ste 130, Beaverton, OR 97006
- Phone Number
- 503-376-9200
- Fax Number
- 503-376-9201
- Primary Taxonomy
- Pain Medicine, Interventional Pain Medicine · 208VP0014X
- Organization Subpart
- No
- Authorized Official
- Dr. Suresh Chand, MD · Medical Director · 503-376-9200
- Other Names
- Suresh Chand MD (Doing Business As)
Cornell Pain Clinic (Former Legal Business Name) - Provider Enumeration Date
- January 16, 2018
- Last Update Date
- June 28, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15455 NW Greenbrier Pkwy Ste 130
Beaverton, OR 97006 - City
- Beaverton
- State
- Oregon
- Zip
- 97006
- Phone Number
- 503-376-9200
- Fax Number
- 503-376-9201
Provider Business Mailing Address Details
- Address
- 15455 NW Greenbrier Pkwy Ste 130
Beaverton, OR 97006-8115 - City
- Beaverton
- State
- OR
- Zip
- 97006-8115
- Phone Number
- 503-376-9200
- Fax Number
- 503-376-9201
License Information
- License Number
- MD178982
- License State
- OR
- Taxonomy
- Pain Medicine, Interventional Pain Medicine · 208VP0014X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Cornell Pain Clinic LLC?
The NPI number of Cornell Pain Clinic LLC is 1861900516. It was assigned on January 16, 2018 and is currently active in the NPPES registry.
What is the specialty of Cornell Pain Clinic LLC?
Cornell Pain Clinic LLC is registered under the primary taxonomy Pain Medicine, Interventional Pain Medicine (code 208VP0014X), licensed in OR under license number MD178982.
Where does Cornell Pain Clinic LLC practice?
The practice location is 15455 NW Greenbrier Pkwy Ste 130, Beaverton, OR 97006. The office can be reached at 503-376-9200 (phone) or 503-376-9201 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861900516 directly on the NPPES registry website.