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PACIFIC SPINE SPECIALISTS, LLC
NPI 1740311679
Specialist in Tualatin, OR

Active since March 09, 2007
19260 SW 65TH AVE STE 270, TUALATIN, OR 97062(503) 885-9391(503) 783-0909 Get Directions Write a Review

NPPES record last updated: June 25, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pacific Spine Specialists, Llc NPPES

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

PACIFIC SPINE SPECIALISTS, LLC (NPI 1740311679) is a healthcare organization registered as a specialist in Tualatin, Oregon and active in the NPI registry since March 2007. The organization lists Faye L Kaiser, Bookkeeper, as its authorized official.

NPPES Registry Identity

NPI1740311679
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePACIFIC SPINE SPECIALISTS, LLC
Location Address19260 SW 65TH AVE STE 270Tualatin, OR 97062-5705
Mailing Address19260 Sw 65th Ave Ste 270Tualatin, OR 97062-5705 · (503) 885-9391 · Fax (503) 783-0909
Phone(503) 885-9391
Fax(503) 783-0909
Organization SubpartNo
Authorized OfficialFaye L KaiserBookkeeper · (503) 783-0201
Enumeration DateMarch 9, 2007
Last NPPES UpdateJune 25, 2010
✔ NPI 1740311679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OR · MD15842
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
19260 SW 65TH AVE STE 270, Tualatin, OR 97062
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Other Identifiers 4

Medicare UPINA49072OR
Medicaid241875OR
Medicare ID-Type UnspecifiedR113017OR · Practice Id Number
Medicare UPINP57863OR

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

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA MAE COWAN PA-C
Physician Assistant
19260 SW 65TH AVE STE 270
TUALATIN, OR 97062
Washington County (503) 885-9391
TIMOTHY LYNN KEENEN MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
19260 SW 65TH AVE STE 270
TUALATIN, OR 97062
Washington County (503) 885-9391
DR. TANA MARIE HAYNES M.D.
Internal Medicine
19260 SW 65TH AVE STE 270, SUITE B2
TUALATIN, OR 97062
Washington County (503) 699-0764
RANI BUI PA
Physician Assistant
19260 SW 65TH AVE STE 270
TUALATIN, OR 97062
Washington County (503) 692-9525
MRS. EMILEE MARIE CHESTERFIELD PA-C
Physician Assistant (Medical)
19260 SW 65TH AVE STE 270
TUALATIN, OR 97062
Washington County (503) 692-9525
NORTHWEST INTERNAL MEDICINE LLC
Specialist
19260 SW 65TH AVE STE 270
TUALATIN, OR 97062
Washington County (503) 329-1851

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 Pacific Spine Specialists, LLC's NPI number?

The NPI number for Pacific Spine Specialists, LLC is 1740311679. It was assigned to this organization in the NPPES registry on March 9, 2007.

Where is Pacific Spine Specialists, LLC located?

Pacific Spine Specialists, LLC is located at 19260 SW 65th Ave Ste 270, Tualatin, OR 97062. The listed phone number is (503) 885-9391.

What is Pacific Spine Specialists, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Pacific Spine Specialists, LLC was last updated on June 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.