Provider Demographics
NPI:1669670238
Name:COLUMBIA PAIN MANAGEMENT, LLC
Entity Type:Organization
Organization Name:COLUMBIA PAIN MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:TREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:RIGERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:541-386-9500
Mailing Address - Street 1:2149 W CASCADE #106 A PMB 232
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031
Mailing Address - Country:US
Mailing Address - Phone:541-386-9500
Mailing Address - Fax:541-386-9540
Practice Address - Street 1:1010 10TH ST
Practice Address - Street 2:
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031
Practice Address - Country:US
Practice Address - Phone:541-386-9500
Practice Address - Fax:541-386-9540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORF11879Medicare UPIN
ORR115829Medicare ID - Type Unspecified