1. Home
  2. Directory
  3. Oregon
  4. Corvallis
  5. Pain Medicine
  6. NPI Profile

CORVALLIS PAIN MANAGEMENT
NPI 1740668649
Pain Medicine - Interventional Pain Medicine in Corvallis, OR

Active since May 11, 2015CLIA 38D2023624 · Waiver
800 NE CIRCLE BLVD, CORVALLIS, OR 97330(541) 286-4742(833) 450-5933 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 22, 2024, Apr 12, 2024, Aug 17, 2022 and 2 more (5 updates tracked since 2020).

About Corvallis Pain Management NPPES

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

CORVALLIS PAIN MANAGEMENT (NPI 1740668649) is a healthcare organization registered as an interventional pain medicine in Corvallis, Oregon and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through August 31, 2027 and lists Julia Bull Rask, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1740668649
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameCORVALLIS MEDICAL GROUP LLC
Location Address800 NE CIRCLE BLVDCorvallis, OR 97330-4256
Mailing Address800 Ne Circle BlvdCorvallis, OR 97330-4256 · (541) 286-4742 · Fax (833) 450-5933
Phone(541) 286-4742
Fax(833) 450-5933
Organization SubpartNo
Authorized OfficialJulia Bull RaskChief Financial Officer · (541) 368-3032
Enumeration DateMay 11, 2015
Last NPPES UpdateApril 22, 20245 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
✔ NPI 1740668649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
800 NE CIRCLE BLVD, Corvallis, OR 97330
Open in Google Maps ↗

Other Names 1

Doing Business AsCorvallis Pain Management

Other Identifiers 1

Medicaid130103OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2023624

Corvallis Medical Group · Corvallis, OR
Active · expires Aug 31, 2027
CLIA Number38D2023624
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorPatrick Rask
Laboratory Phone(541) 368-3032
Laboratory LocationCorvallis Medical Group800 NE Circle Blvd, Corvallis, OR 97330
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

JAROD SMITH D.N.P., A.R.N.P.,F.N
Pain Medicine (Interventional Pain Medicine)
800 NE CIRCLE BLVD
CORVALLIS, OR 97330
Benton County (541) 286-4742
PATRICK RASK M.D.
Pain Medicine (Interventional Pain Medicine)
800 NE CIRCLE BLVD
CORVALLIS, OR 97330
Benton County (541) 286-4742
CHRISTOPHER JASON SMITH P.A.
Pain Medicine (Interventional Pain Medicine)
800 NE CIRCLE BLVD
CORVALLIS, OR 97330
Benton County (541) 286-4742

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 Corvallis Medical Group LLC's NPI number?

The NPI number for Corvallis Medical Group LLC is 1740668649. It was assigned to this organization in the NPPES registry on May 11, 2015. The provider is doing business as Corvallis Pain Management.

Where is Corvallis Medical Group LLC located?

Corvallis Medical Group LLC is located at 800 NE Circle Blvd, Corvallis, OR 97330. The listed phone number is (541) 286-4742.

What is Corvallis Medical Group LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does Corvallis Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2023624) is associated with this NPI, valid through August 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Corvallis Medical Group LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Corvallis Medical Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Corvallis Medical Group LLC was last updated on April 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.