1. Home
  2. Directory
  3. Oregon
  4. Clackamas
  5. Anesthesiology
  6. NPI Profile

ROSE CITY PAIN RELIEF LLC
NPI 1396513776
Anesthesiology - Pain Medicine in Clackamas, OR

Active since December 15, 2023
10151 SE SUNNYSIDE RD STE 315, CLACKAMAS, OR 97015(808) 234-9999 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rose City Pain Relief Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSE CITY PAIN RELIEF LLC (NPI 1396513776), doing business as Portland Pain Relief, is a healthcare organization registered as a pain medicine in Clackamas, Oregon and active in the NPI registry since December 2023. The organization lists David Birdsall, President, as its authorized official.

NPPES Registry Identity

NPI1396513776
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameROSE CITY PAIN RELIEF LLC
Location Address10151 SE SUNNYSIDE RD STE 315Clackamas, OR 97015-5717
Mailing Address2455 Bronzewood DrTustin, CA 92782-4322 · (808) 234-9999
Phone(808) 234-9999
Organization SubpartNo
Authorized OfficialDavid BirdsallPresident · (808) 234-9999
Enumeration DateDecember 15, 2023
NPPES CertifiedDecember 15, 2023
✔ NPI 1396513776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
10151 SE SUNNYSIDE RD STE 315, Clackamas, OR 97015
Open in Google Maps ↗

Other Names 1

Doing Business AsPortland Pain Relief

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rose City Pain Relief Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Rose City Pain Relief LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Lauren Kmiechick
Nurse Practitioner
NPI 1497376115
35002 PACIFIC HWY S STE 105
Federal Way, WA 98003
(253) 944-1289
✔ PECOS✔ Accepts Medicare129 mi
Alexey Ryskin, M.D.
Pain Management
NPI 1366457236
1075 JADWIN AVE
Richland, WA 99352
(509) 946-3340
✔ PECOS✔ Accepts Medicare169 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rose City Pain Relief LLC's NPI number?

The NPI number for Rose City Pain Relief LLC is 1396513776. It was assigned to this organization in the NPPES registry on December 15, 2023. The provider is doing business as Portland Pain Relief.

Where is Rose City Pain Relief LLC located?

Rose City Pain Relief LLC is located at 10151 SE Sunnyside Rd Ste 315, Clackamas, OR 97015. The listed phone number is (808) 234-9999.

What is Rose City Pain Relief LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Rose City Pain Relief LLC enrolled in Medicare?

Yes. Rose City Pain Relief LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rose City Pain Relief LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Rose City Pain Relief LLC, in Nurse Practitioner and Pain Management. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rose City Pain Relief LLC was last updated on December 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.