OrganizationActive
Willamette Pain & Spine Center PC
NPI 1114312451 · Community/Retail Pharmacy · Clackamas, OR
Willamette Pain & Spine Center PC is a Community/Retail Pharmacy organization in Clackamas, OR (NPI 1114312451).
Provider details
- NPI number
- 1114312451
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Tammie Miskimins, Mgr, Licensing & Third Party(817) 572-0009
- License
- RP0003062CS (OR)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10001 Se Sunnyside Rd Ste 100a
Clackamas, OR 97015-9728
Phone: (503) 343-9363
Street-level locationGet directions
Mailing address
1620 W. Northwest Hwy
Grapevine, TX 76051
Other names (DBA / former)
- Doing business as
- Sunnyside Pharmacy
Registry dates
- Enumerated
- 2015-04-03
- Last updated
- 2016-06-29
Frequently asked questions
- What is Willamette Pain & Spine Center PC's NPI number?
- Willamette Pain & Spine Center PC's National Provider Identifier (NPI) is 1114312451, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Willamette Pain & Spine Center PC?
- Willamette Pain & Spine Center PC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Willamette Pain & Spine Center PC located?
- Willamette Pain & Spine Center PC's practice location on file with NPPES is 10001 Se Sunnyside Rd Ste 100a, Clackamas, OR 97015-9728.
- What is Willamette Pain & Spine Center PC's phone number?
- The practice phone number listed in the NPPES registry for Willamette Pain & Spine Center PC is (503) 343-9363.
- Who is the authorized official for Willamette Pain & Spine Center PC?
- The authorized official listed on Willamette Pain & Spine Center PC's NPPES record is Tammie Miskimins, Mgr, Licensing & Third Party. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Willamette Pain & Spine Center PC's NPI active?
- Yes — Willamette Pain & Spine Center PC's NPI (1114312451) is active in the NPPES registry as of the last update on 2016-06-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.