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NPI Profile for RESTORE INTERVENTIONAL SPINE SPORTS MEDICINE LLC in BEAVERTON, OR.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pain Medicine |
2081P2900X | 25 | Physician/Physical Medicine and Rehabilitation | |
Vascular & Interventional Radiology |
2085R0204X | 94 | Physician/Interventional Radiology |
| NPI Number | 1801139019 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/05/2013 | |
| Last updated | 10/10/2016 - About 10 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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| ANTHONY J DIRE, MD 9205 SW BARNES RD PORTLAND, OR |
| ALAN K MORIMOTO, MD 9205 SW BARNES RD PORTLAND, OR |
| JACK H SIMON, M.D.,PH.D. 3710 SW VETERANS HOSPITAL RD PORTLAND, OR |
| AARON GROSSBERG, MD, PHD 3181 SW SAM JACKSON PARK RD # L337 PORTLAND, OR |
| TOSHINORI FUKUDA, MD OHSU DIAGNOSTIC RADIOLOGY L340 PORTLAND, OR |
| ELIZABETH YUTAN, MD 3181 SW SAM JACKSON PARK ROAD PORTLAND, OR |
| THOMAS F HIRSH, MD 800 SW 13TH AVE PORTLAND, OR |
| JENNIFER L JOHNSON, MPT 335 SE 8TH AVE HILLSBORO, OR |
| AMAR SRIVASTAVA, MD 4805 NE GLISAN ST, GARDEN LEVEL PORTLAND, OR |
| DIAGNOSTIC RADIOLOGISTS PC 10123 SE MARKET PORTLAND, OR |
RESTORE INTERVENTIONAL SPINE & SPORTS MEDICINE LLC