OrganizationActive
Pain Relief Specialist Northwest PC
NPI 1396783023 · Interventional Pain Medicine Physician · Gresham, OR
Provider details
- NPI number
- 1396783023
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edward Mccluskey, Owner Operator(503) 382-8100
- License
- 648952 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
831 Nw Council Dr
Suite 300
Gresham, OR 97030-3721
Phone: (503) 382-8100
Fax: (503) 382-8120
Street-level locationGet directions
Mailing address
831 Nw Council Dr
Gresham, OR 97030-3721
Registry dates
- Enumerated
- 2006-06-03
- Last updated
- 2008-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.