NORTHWEST AMBULATORY SURGERY CENTER LLC (NPI# 1245482280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245482280 |
| Entity Type | Organization |
| Organization Name | NORTHWEST AMBULATORY SURGERY CENTER LLC |
| Other Organization Name | NORTHWEST AMBULATORY SURGERY CENTER |
| Practice Address |
1515 Nw 18th Ave Ste 200 Portland OR 97209-2516 |
| Practice Telephone | 5035424888 |
| Practice Fax Number | 5035422813 |
| Mailing Telephone | 5035424888 |
| Mailing Fax Number | 5035422813 |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2020-07-15 |
| Authorized Official Name | ERIC BOON (OFFICER/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 4805670269 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
07 1564 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | RAILROAD MEDICARE | P00722196 | 01 |
| Other Name | Type Code |
|---|---|
| Northwest Ambulatory Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538260534 | Northwest Ambulatory Surgery Center LLC | Clinic/Center | 1920 100th St Se, A1, Everett, WA 98208-3832 | 2006-09-25 |
| Street Address |
1515 NW 18TH AVE STE 200 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-2516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230952 | Leo Francis Quinn Jr. | Physical Therapist | 1515 Nw 18th Ave, Ste 400, Portland, OR 97209-2515 | 2005-07-22 |
| 1316497928 | Orthopedic & Sports Medicine Center of Or LLC | Physician Assistant | 1515 Nw 18th Ave, #300, Portland, OR 97209-2516 | 2016-10-06 |
| 1588076954 | Rose City Physical Therapy Associates, LLC | Clinic/Center | 1515 Nw 18th Ave, Suite 400, Portland, OR 97209-2516 | 2014-05-20 |
| 1851645121 | Suzanne Chi | Acupuncturist | 1515 Nw 18th Ave, Suite 400, Portland, OR 97209-2516 | 2012-11-07 |
| 1740538115 | Genesis Medical Group, LLC. | Prosthetic/Orthotic Supplier | 1515 Nw 18th Ave, Suite 100, Portland, OR 97209-2516 | 2012-08-16 |
| 1225293285 | Emily C Nguyen | Orthopaedic Surgery | 1515 Nw 18th Ave, Ste 300, Portland, OR 97209-2539 | 2008-07-18 |
| 1750420063 | Pettygrove Physical Therpay Associates LLC | Physical Therapist | 1515 Nw 18th Ave, Suite 400, Portland, OR 97123 | 2007-02-05 |
| 1376600049 | Barry A Jacoshenk | Physician Assistant | 1515 Nw 18th Ave, Suite 300, Portland, OR 97209-2516 | 2007-01-02 |
| 1376579631 | Justin Robert Thibeault | Physician Assistant | 1515 Nw 18th Ave, 3rd Floor, Portland, OR 97209-2516 | 2006-06-25 |
| 1235179656 | Derek Edward Lamprecht | Orthopaedic Surgery | 1515 Nw 18th Ave, Suite 300, Portland, OR 97209-2515 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1164946984 | Northwest Renal Clinic, Inc. | Clinic/Center | 9701 Sw Barnes Rd Ste 110, Portland, OR 97225-6774 | 2017-08-02 |
| 1902287469 | Gateway Dental Surgery Center | Clinic/Center | 10535 Ne Glisan St Ste 101, Portland, OR 97220-4095 | 2015-06-10 |
| 1780959007 | Columbia River Surgery Center LLC | Clinic/Center | 9820 Ne Cascades Pkwy, Portland, OR 97220-6825 | 2012-03-20 |
| 1245471788 | Pacific Cataract and Laser Institute Inc PC | Clinic/Center | 1331 Nw Lovejoy Street, Suite 750, Portland, OR 97209 | 2009-03-12 |
| 1518022615 | Futures Outpatient Surgical Center | Clinic/Center | 1849 Nw Kearney St Ste 302, Portland, OR 97209-1453 | 2006-12-27 |
| 1245336411 | Lovejoy Surgicenter Inc. | Clinic/Center | 933 Nw 25th Ave, Portland, OR 97210-2829 | 2006-09-15 |
| 1710992680 | Ambulatory Surgical Center | Clinic/Center | 10201 Se Main St Ste 20, Portland, OR 97216-2937 | 2006-07-29 |
| 1609896539 | Cedar Hills Ambulatory Surgery Center LLC | Clinic/Center | 10305 Sw Park Way Ste 101, Portland, OR 97225-5033 | 2006-07-21 |
| 1376599381 | Eyecare Medical Group | Clinic/Center | 53 Sewall Street, Portland, ME 04102-2625 | 2006-05-25 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.