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RESTORE INTERVENTIONAL SPINE & SPORTS MEDICINE LLC
NPI 1801139019
Physical Medicine & Rehabilitation - Pain Medicine in Beaverton, OR

Active since April 05, 2013
9925 SW NIMBUS AVE, SUITE 100, BEAVERTON, OR 97008(503) 535-8302(503) 416-8732 Get Directions Write a Review

NPPES record last updated: October 10, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Restore Interventional Spine & Sports Medicine Llc NPPES

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

RESTORE INTERVENTIONAL SPINE & SPORTS MEDICINE LLC (NPI 1801139019) is a healthcare organization registered as a pain medicine in Beaverton, Oregon and active in the NPI registry since April 2013. The organization lists Rahul Naven Desai, Owner / Ceo, as its authorized official.

NPPES Registry Identity

NPI1801139019
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameRESTORE INTERVENTIONAL SPINE & SPORTS MEDICINE LLC
Location Address9925 SW NIMBUS AVE, SUITE 100Beaverton, OR 97008
Mailing Address9925 Sw Nimbus Ave., Suite 100Beaverton, OR 97008 · (503) 535-8302 · Fax (503) 416-8732
Phone(503) 535-8302
Fax(503) 416-8732
Organization SubpartNo
Authorized OfficialRahul Naven DesaiOwner / Ceo · (503) 535-8302
Enumeration DateApril 5, 2013
Last NPPES UpdateOctober 10, 2016
✔ NPI 1801139019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in OR · DO150752
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License MD28444 (OR)
9925 SW NIMBUS AVE, Beaverton, OR 97008
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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 Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 5

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

MRS. JULIE A FIGLIULO LMT
Massage Therapist
9925 SW NIMBUS AVE, SUITE 100
BEAVERTON, OR 97008
Washington County (503) 704-2843
TYLER SCHUSTER
Specialist/Technologist (Athletic Trainer)
9925 SW NIMBUS AVE
BEAVERTON, OR 97008
Washington County (503) 535-8302
DR. KATARZYNA BARBARA IWAN M.D.
Pain Medicine (Pain Medicine)
9925 SW NIMBUS AVE, #100
BEAVERTON, OR 97008
Washington County (503) 535-8302
DR. HAROLD J MADERAZO N.D.
Naturopath
9925 SW NIMBUS AVE, SUITE 100
BEAVERTON, OR 97008
Washington County (503) 358-1013
DR. SHEILA RAYBOURN D.C.
Chiropractor
9925 SW NIMBUS AVE, SUITE 100
BEAVERTON, OR 97008
Washington County (503) 596-2774

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 Restore Interventional Spine & Sports Medicine LLC's NPI number?

The NPI number for Restore Interventional Spine & Sports Medicine LLC is 1801139019. It was assigned to this organization in the NPPES registry on April 5, 2013.

Where is Restore Interventional Spine & Sports Medicine LLC located?

Restore Interventional Spine & Sports Medicine LLC is located at 9925 SW Nimbus Ave Suite 100, Beaverton, OR 97008. The listed phone number is (503) 535-8302.

What is Restore Interventional Spine & Sports Medicine LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

What insurance does Restore Interventional Spine & Sports Medicine LLC accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Restore Interventional Spine & Sports Medicine 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 Restore Interventional Spine & Sports Medicine LLC was last updated on October 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.