Carlos Ceballos, MD Valid NPI
Individual provider · Pain Medicine Physician · Portland, OR
- NPI
- 1396774014
- Type
- Individual (Type 1)
- Primary specialty
- Pain Medicine Physician (Pain Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208VP0000X
- License number
- MD12612 (OR)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-07-03
- Last updated
- 2025-09-11
Practice location
10300 Ne Hancock St
Portland, OR 97220
(503) 650-4359