OrganizationActive
Columbia Pain and Spine Institute
NPI 1972813962 · Physical Medicine & Rehabilitation Physician · Gresham, OR
Provider details
- NPI number
- 1972813962
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Oleg Maksimov, President(503) 915-9217
- License
- MD 28526 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
689 Nw Burnside Road
Gresham, OR 97030
Phone: (503) 382-8100
Fax: (503) 382-8120
Approximate (ZIP-level) locationGet directions
Mailing address
689 Nw Burnside Road
Gresham, OR 97030-8014
Registry dates
- Enumerated
- 2010-10-08
- Last updated
- 2021-05-23
- Certified
- 2021-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.