COLUMBIA PAIN AND SPINE INSTITUTE
NPI 1972813962
Physical Medicine & Rehabilitation in Gresham, OR

Active since October 08, 2010
689 NW BURNSIDE ROAD, GRESHAM, OR 97030(503) 382-8100(503) 382-8120 Get Directions Write a Review

NPPES record last updated: May 23, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 23, 2021, Jul 19, 2018, Mar 15, 2017 (3 updates tracked since 2017).

About Columbia Pain And Spine Institute NPPES

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

COLUMBIA PAIN AND SPINE INSTITUTE (NPI 1972813962) is a healthcare organization registered as a physical medicine & rehabilitation in Gresham, Oregon and active in the NPI registry since October 2010. The organization lists Oleg Maksimov, President, as its authorized official.

NPPES Registry Identity

NPI1972813962
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameCOLUMBIA PAIN AND SPINE INSTITUTE
Location Address689 NW BURNSIDE ROADGresham, OR 97030
Mailing Address689 Nw Burnside RoadGresham, OR 97030-8014 · (503) 382-8100 · Fax (503) 382-8120
Fax(503) 382-8120
Organization SubpartNo
Authorized OfficialOleg MaksimovPresident · (503) 915-9217
Enumeration DateOctober 8, 2010
Last NPPES UpdateMay 23, 20213 updates tracked since enumeration
NPPES CertifiedMay 23, 2021
✔ NPI 1972813962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedClinic/Center · PainTaxonomy 261QP3300X · License MD 28526 (OR), MD60054432 (WA)
689 NW BURNSIDE ROAD, Gresham, OR 97030

Other Identifiers 1

Medicaid500632340OR

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Columbia Pain And Spine Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Columbia Pain And Spine Institute, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner5
Certified Registered Nurse Anesthetist (CRNA)2
Physical Medicine and Rehabilitation2
Anesthesiology1
Pain Management1

Clinicians, nearest first (11)

Physical Medicine and Rehabilitation
NPI 1780796326
689 NW BURNSIDE RD FL 2
Gresham, OR 97030
(503) 382-8106
✔ PECOS✔ Accepts MedicareSame address
Pain Management
NPI 1376084632
689 NW BURNSIDE RD
Gresham, OR 97030
(503) 382-8100
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1902973266
689 NW BURNSIDE RD
Gresham, OR 97030
(801) 849-2622
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801337746
515 NE ROBERTS AVE
Gresham, OR 97030
(503) 477-2477
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1245966597
10000 SE MAIN ST STE 128
Portland, OR 97216
(503) 261-5950
✔ PECOS✔ Accepts Medicare5.9 mi
Nurse Practitioner
NPI 1558587766
9512 NE SACRAMENTO ST
Portland, OR 97220
(503) 255-6402
✔ PECOS✔ Accepts Medicare6.4 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1699144774
3455 SW US VETERANS HOSPITAL RD
Portland, OR 97239
(970) 420-5017
✔ PECOS✔ Accepts Medicare12 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1518352350
39609 WALL ST
Sandy, OR 97055
(503) 668-9125
✔ Accepts Medicare12 mi
Anesthesiology
NPI 1568641298
914 S SCHEUBER RD
Centralia, WA 98531
(360) 736-2803
✔ PECOS✔ Accepts Medicare87 mi
Nurse Practitioner
NPI 1255937413
1101 E WISHKAH ST
Aberdeen, WA 98520
(253) 257-6800
✔ PECOS121 mi
Nurse Practitioner
NPI 1821812934
279 E KENNEDY ST
Spartanburg, SC 29302
(864) 583-0053
✔ PECOS✔ Accepts Medicare2,236 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 Columbia Pain And Spine Institute's NPI number?

The NPI number for Columbia Pain And Spine Institute is 1972813962. It was assigned to this organization in the NPPES registry on October 8, 2010.

Where is Columbia Pain And Spine Institute located?

Columbia Pain And Spine Institute is located at 689 NW Burnside Road, Gresham, OR 97030. The listed phone number is (503) 382-8100.

What is Columbia Pain And Spine Institute's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Columbia Pain And Spine Institute enrolled in Medicare?

Yes. Columbia Pain And Spine Institute is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Columbia Pain And Spine Institute?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 5 Medicare specialties reassign their Medicare billing to Columbia Pain And Spine Institute. 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 Nurse Practitioner (5), Certified Registered Nurse Anesthetist (CRNA) (2) and Physical Medicine and Rehabilitation (2). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Columbia Pain And Spine Institute accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Columbia Pain And Spine Institute 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 Columbia Pain And Spine Institute was last updated on May 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.