Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OREGON PAIN MANAGEMENT LLC
NPI 1679936579
Anesthesiology in Salem, OR

Q: What is Oregon Pain Management LLC's NPI number?

The NPI number for Oregon Pain Management LLC is 1679936579. It was assigned to this organization in the NPPES registry on March 30, 2016.

Q: What is Oregon Pain Management LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Active since March 30, 2016

2480 LIBERTY ST NE STE 180, SALEM, OR 97301(503) 881-9459(503) 363-4373 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 29, 2026, May 12, 2022, Mar 30, 2016 (3 updates tracked since 2016).

On this page

About Oregon Pain Management Llc NPPES

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

OREGON PAIN MANAGEMENT LLC (NPI 1679936579) is a healthcare organization registered as an anesthesiology in Salem, Oregon and active in the NPI registry since March 2016. The organization lists Chonthicha Khomkham, Administrator, as its authorized official.

NPPES Registry Identity

NPI1679936579

Entity TypeOrganization

Primary Taxonomy207L00000X

Legal Business NameOREGON PAIN MANAGEMENT LLC

Location Address2480 LIBERTY ST NE STE 180Salem, OR 97301-8388

Mailing Address2480 Liberty St Ne Ste 180Salem, OR 97301-8388 · Fax (503) 363-4373

Phone(503) 881-9459

Fax(503) 363-4373

Organization SubpartNo

Authorized OfficialChonthicha KhomkhamAdministrator · (503) 881-9459

Enumeration DateMarch 30, 2016

Last NPPES UpdateSeptember 29, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2026

✔ NPI 1679936579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

2480 LIBERTY ST NE STE 180, Salem, OR 97301

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oregon Pain Management Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 25 clinicians reassign Medicare billing to Oregon Pain Management LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Certified Registered Nurse Anesthetist (CRNA)18

Anesthesiology4

Pain Management2

Interventional Pain Management1

Nearest to this location (20)

See all 25

Poly Chen, M.D.

Anesthesiology

NPI 1255421467

2480 LIBERTY ST NE SUITE 110
Salem, OR 97301

(503) 371-1010

✔ PECOS✔ Accepts MedicareSame address

Cuong Vu, MD

Pain Management

NPI 1649455775

2480 LIBERTY ST NE STE 180
Salem, OR 97301

(503) 371-1010

✔ PECOS✔ Accepts MedicareSame address

Todd Meyer, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1447229877

342 FAIRVIEW ST
Silverton, OR 97381

(503) 873-1500

✔ Accepts Medicare12 mi

Alex Bahrke, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1568794055

342 FAIRVIEW ST
Silverton, OR 97381

(503) 873-1500

✔ Accepts Medicare12 mi

Lea See, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1427234384

2700 SE STRATUS AVE
Mcminnville, OR 97128

(503) 435-6580

✔ Accepts Medicare18 mi

Sam Dieu, APRN, RN

Certified Registered Nurse Anesthetist (CRNA)

NPI 1538875224

2700 SE STRATUS AVE
Mcminnville, OR 97128

(503) 472-6131

✔ Accepts Medicare19 mi

Tyler Trepanier

Certified Registered Nurse Anesthetist (CRNA)

NPI 1134799810

1046 6TH AVE SW
Albany, OR 97321

(541) 812-4000

✔ Accepts Medicare23 mi

Kayla Pennington, RN, BSN, MS, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1982840138

20154 SW TILLAMOOK CT
Tualatin, OR 97062

(503) 803-0560

✔ Accepts Medicare31 mi

Jonathan Roth, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1962839654

10150 SE 32ND AVE
Milwaukie, OR 97222

(503) 513-8318

39 mi

David Andrews, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1477595411

3181 SW SAM JACKSON PARK RD
Portland, OR 97239

(503) 494-7641

✔ Accepts Medicare41 mi

Sara Davis

Certified Registered Nurse Anesthetist (CRNA)

NPI 1134234800

3181 SW SAM JACKSON PARK RD UHS-2
Portland, OR 97239

(503) 494-4910

✔ Accepts Medicare41 mi

Jared Fairchild, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1245624980

3181 SW SAM JACKSON PARK RD
Portland, OR 97239

(503) 494-4910

✔ Accepts Medicare41 mi

Rebecca Graniti, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1902873417

3181 SW SAM JACKSON PARK RD
Portland, OR 97239

(503) 494-7641

✔ Accepts Medicare41 mi

Bala Arul Krishnan, M.D., M.S.

Anesthesiology

NPI 1033375092

707 SW WASHINGTON ST SUITE 700
Portland, OR 97205

(503) 299-9906

✔ PECOS✔ Accepts Medicare42 mi

Andrew Oh, M.D.

Pain Management

NPI 1932312766

140 NW 14TH AVE
Portland, OR 97209

(503) 770-0175

✔ PECOS✔ Accepts Medicare42 mi

Daniel Jones

Certified Registered Nurse Anesthetist (CRNA)

NPI 1437427259

1015 NW 22ND AVE
Portland, OR 97210

(509) 413-7711

✔ Accepts Medicare42 mi

Holger Hennig, MD

Anesthesiology

NPI 1619961398

3333 RIVERBEND DR
Springfield, OR 97477

(541) 222-3154

✔ PECOS✔ Accepts Medicare61 mi

Brenna Wolford, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1144429994

61069 SE ECHO LAKE CT.
Bend, OR 97702

(541) 490-3527

✔ Accepts Medicare108 mi

Youngeun Cho, MD

Interventional Pain Management

NPI 1346583820

1959 NE PACIFIC ST
Seattle, WA 98195

(206) 520-5000

✔ PECOS✔ Accepts Medicare189 mi

Namratha Prabhu, M.D.

Anesthesiology

NPI 1659717965

5565 GROSSMONT CENTER DRIVE, BLDG. 3 SUITE 540
La Mesa, CA 91942

(619) 460-2700

✔ PECOS✔ Accepts Medicare900 mi

See all 25 clinicians

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 Oregon Pain Management LLC's NPI number?

The NPI number for Oregon Pain Management LLC is 1679936579. It was assigned to this organization in the NPPES registry on March 30, 2016.

Where is Oregon Pain Management LLC located?

Oregon Pain Management LLC is located at 2480 Liberty St NE Ste 180, Salem, OR 97301. The listed phone number is (503) 881-9459.

What is Oregon Pain Management LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Oregon Pain Management LLC enrolled in Medicare?

Yes. Oregon Pain Management LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oregon Pain Management LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 4 Medicare specialties reassign their Medicare billing to Oregon Pain Management LLC. 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. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (18), Anesthesiology (4) and Pain Management (2). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Oregon Pain Management LLC was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.