Mr Carlos Ceballos, MD - Pain Medicine in Portland, OR

Mr Carlos Ceballos, MD is a Pain Medicine - Pain Medicine physician based in Portland, Oregon. Mr Carlos Ceballos is licensed to practice in Oregon (license number MD12612) and his current practice location is 10300 Ne Hancock St, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at (503) 650-4359.

NPI number for Mr Carlos Ceballos is 1396774014 and his current mailing address is Po Box 53, Gladstone, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396774014.

Contact Information

Mr Carlos Ceballos, MD
10300 Ne Hancock St,
Portland, OR 97220
(503) 650-4359
Not Available

Map and Direction




Physician's Profile

Full NameMr Carlos Ceballos
GenderMale
SpecialityPain Medicine - Pain Medicine
Location10300 Ne Hancock St, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1396774014
  • Provider Enumeration Date: 07/03/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Carlos Ceballos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396774014NPI-NPPES
225094MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology MD12612 (Oregon)Primary
208VP0000XPain Medicine - Pain Medicine MD12612 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Carlos Ceballos is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Carlos Ceballos, MD
Po Box 53,
Gladstone, OR 97027-0053

Ph: (503) 650-4359
Mr Carlos Ceballos, MD
10300 Ne Hancock St,
Portland, OR 97220

Ph: (503) 650-4359

Reviews and Comments


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