| Northwest Pain Institute | |
|
2005 Cedar St Forest Grove OR 97116-1701 | |
| (503) 883-8297 | |
| Not Available |
| Full Name | Northwest Pain Institute |
|---|---|
| Speciality | Clinic/Center |
| Location | 2005 Cedar St, Forest Grove, Oregon |
| Authorized Official Name and Position | Trevor Jorgensen (MD/OWNER) |
| Authorized Official Contact | 5038838297 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Pain Institute 2005 Cedar St Forest Grove OR 97116-1701 Ph: (503) 883-8297 | Northwest Pain Institute 2005 Cedar St Forest Grove OR 97116-1701 Ph: (503) 883-8297 |
| NPI Number | 1427674324 |
|---|---|
| Provider Enumeration Date | 06/17/2020 |
| Last Update Date | 07/27/2020 |
| Medicare PECOS PAC ID | 4789009283 |
|---|---|
| Medicare Enrollment ID | O20200730003246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427674324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QP3300X | Clinic/center - Pain | (* (Not Available)) | Primary |
| Provider Name | Trevor Dee Jorgensen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1639303597 PECOS PAC ID: 6204052152 Enrollment ID: I20140729002552 |
| Provider Name | Michaela Roxana Westover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649987413 PECOS PAC ID: 7214393115 Enrollment ID: I20230518003411 |
Geneva Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3838 Pacific Ave, Forest Grove, OR 97116 Phone: 503-992-0288 Fax: 503-359-4724 | |
Maple Street Clinic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1825 Maple St, Forest Grove, OR 97116 Phone: 503-357-2136 Fax: 503-359-5479 | |
Main Street Dental Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2016 Main St, Forest Grove, OR 97116 Phone: 503-357-3711 Fax: 503-992-1939 | |
Marilyn J Booth Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3305 19th Ave, Forest Grove, OR 97116 Phone: 503-357-7194 Fax: 503-357-5735 | |
Bours Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3303 19th Ave, Forest Grove, OR 97116 Phone: 503-357-6119 Fax: 503-359-5750 | |
Mountain View Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1909 Mountain View Ln, #200, Forest Grove, OR 97116 Phone: 503-359-4773 Fax: 503-359-3809 |