OrganizationActive
Carlos Ceballos, MD
NPI 1639392269 · Pain Medicine Physician · Portland, OR
Provider details
- NPI number
- 1639392269
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carlos Ceballos, Owner(503) 650-4359
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
10373 Ne Hancock St Ste 216
Portland, OR 97220-3873
Phone: (503) 650-4359
Fax: (503) 650-6913
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 53
Gladstone, OR 97027-0053
Registry dates
- Enumerated
- 2007-04-11
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.