IndividualActive
Carlos Ceballos, MD
NPI 1396774014 · Pain Medicine Physician · Portland, OR
Provider details
- NPI number
- 1396774014
- Entity type
- Individual
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD12612 (OR)
Mailing address
Po Box 53
Gladstone, OR 97027-0053
Registry dates
- Enumerated
- 2006-07-03
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.