OrganizationActive
Portland Pain and Spine LLC
NPI 1427321934 · Interventional Pain Medicine Physician · Tigard, OR
Provider details
- NPI number
- 1427321934
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carl Balog, Owner(503) 887-2209
- License
- MD19519 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
9370 Sw Greenburg Rd Ste 601
Tigard, OR 97223-5429
Phone: (503) 238-7246
Fax: (503) 238-7248
Street-level locationGet directions
Mailing address
9370 Sw Greenburg Rd Ste 601
Tigard, OR 97223-5429
Other names (DBA / former)
- Doing business as
- Balog Regenerative
Registry dates
- Enumerated
- 2012-02-14
- Last updated
- 2024-02-22
- Certified
- 2024-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.