Organization
PORTLAND PAIN AND SPINE LLC
Active
Other names
BALOG Regenerative
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL C BALOG MD (OWNER)
(503) 887-2209
Entity
Organization
Contact information
Practice address
9370 SW GREENBURG RD STE 601, TIGARD, OR 97223-5429
(503) 238-7246
(503) 238-7248
Mailing address
9370 SW GREENBURG RD STE 601, TIGARD, OR 97223-5429
(503) 238-7246
(503) 238-7248
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD19519
OR
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD19519
OR
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
02/14/2012
Last updated
02/22/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us