EAST PORTLAND SURGERY CENTER LLC (NPI# 1417287137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417287137 |
| Entity Type | Organization |
| Organization Name | EAST PORTLAND SURGERY CENTER LLC |
| Practice Address |
9200 Se 91st Ave Suite 100 Happy Valley OR 97086-3756 |
| Practice Telephone | 5037726160 |
| Practice Fax Number | 5037726161 |
| Mailing Telephone | 5037726160 |
| Mailing Fax Number | 5037726161 |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2013-04-01 |
| Authorized Official Name | ALEXANDRA O JENKINS (OFFICER) |
| Authorized Official Telephone | 9727133514 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
07-1604 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | RAILROAD MEDICARE | P00864506 | 01 |
| OR | 500624087 | 05 |
| Street Address |
9200 SE 91ST AVE SUITE 100 |
| City | HAPPY VALLEY |
| State | OR |
| Zip Code | 97086-3756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326094509 | Scott D. Mills | Radiology | 9200 Se 91st Ave, Suite 330, Happy Valley, OR 97086-3756 | 2006-05-26 |
| 1629358775 | Advanced Sleep Health, LLC | Durable Medical Equipment & Medical Supplies | 9200 Se 91st Ave, Suite 240, Happy Valley, OR 97086-3756 | 2011-08-22 |
| 1255624862 | Advanced Sleep Health, LLC | Clinic/Center | 9200 Se 91st Ave, Suite 240, Happy Valley, OR 97086-3756 | 2011-05-16 |
| 1417259607 | Arete Nw, LLC | Durable Medical Equipment & Medical Supplies | 9200 Se 91st Ave, Suite 240, Happy Valley, OR 97086-3756 | 2010-11-22 |
| 1942514237 | Arete Nw, LLC | Clinic/Center | 9200 Se 91st Ave, Suite 240, Happy Valley, OR 97086-3756 | 2010-07-29 |
| 1609017086 | Arete Sleep Therapy Nw, LLC | Durable Medical Equipment & Medical Supplies | 9200 Se 91st Ave, Suite 240, Happy Valley, OR 97086-3756 | 2009-03-16 |
| 1508055781 | Creekside Family Practice, LLC | Family Medicine | 9200 Se 91st Ave, Suite #220, Happy Valley, OR 97086-3756 | 2007-10-23 |
| 1881783090 | Kenneth J Meigs Jr. | Family Medicine | 9200 Se 91st Ave, Suite 220, Happy Valley, OR 97086-3756 | 2006-10-12 |
| 1821187089 | Paula Crone | Family Medicine | 9200 Se 91st Ave, Ste 220, Happy Valley, OR 97086-3756 | 2006-10-12 |
| 1568576940 | Katherine L Fisher | Internal Medicine | 9200 Se 91st Ave, Ste 300, Happy Valley, OR 97086-3756 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063803674 | Brandy Lynn Sajovic | Case Manager/Care Coordinator | 10822 Se 82nd Ave., Suite K, Happy Valley, OR 97086 | 2015-02-18 |
| 1851795561 | Tyler Lundquist | Chiropractor | 16144 Se Happy Valley Town Center Dr #214, Happy Valley, OR 97086 | 2014-10-09 |
| 1184040644 | Rui O'reilly | Massage Therapist | 10911 Se Alyssa Dr, Happy Valley, OR 97086 | 2014-03-07 |
| 1083036990 | Laura Dillard | Registered Nurse | 10822 Se 82nd Ave, Happy Valley, OR 97086 | 2014-01-11 |
| 1699027672 | Clackamas Town Dental, LLC | Dentist | 9225 Se Sunnyside Road, Clackamas, OR 97086 | 2012-10-15 |
| 1750639233 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 11800 Se 82nd Avenue, Happy Valley, OR 97086 | 2012-08-15 |
| 1962641654 | Mt Scott Vision and Ocular Imaging Center PC | Optometrist | 9300 Ne 91st Ave, Suite 100, Happy Valley, OR 97086 | 2009-02-19 |
| 1598916546 | Cynthia Sue Weaver | Nurse Practitioner | 9300 Se 91 Ave., Suite 400, Portland, OR 97086 | 2008-10-08 |
| 1396928776 | Cary Ann Fardal | Dietitian, Registered | 13444 Se Piper Dr, Happy Valley, OR 97086 | 2007-12-09 |
| 1689873242 | New Seasons Market - Happy Valley | Pharmacy | 15861 Se Happy Valley Town Center Dr., Happy Valley, OR 97086 | 2007-07-13 |
| Find all providers in zip 97086 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386113090 | Surgery Center of Mt. Scott, LLC | Clinic/Center | 9300 Se 91st Ave Ste 101, Happy Valley, OR 97086-3762 | 2018-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457826125 | Central Oregon Surgical Institute, LLC | Clinic/Center | 1550 Ne 27th St Ste 110, Bend, OR 97701-7728 | 2018-10-09 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1962920751 | West End Surgical, LLC | Clinic/Center | 9405 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-09-01 |
| 1588181275 | Chase Gardens Surgery Center LLC | Clinic/Center | 360 S Garden Way Ste 100, Eugene, OR 97401-8173 | 2017-08-24 |
| 1164946984 | Northwest Renal Clinic, Inc. | Clinic/Center | 9701 Sw Barnes Rd Ste 110, Portland, OR 97225-6774 | 2017-08-02 |
| 1679939318 | Crater Lake Surgery Center LLC | Clinic/Center | 833 Bennett Ave, Medford, OR 97504-6715 | 2016-01-11 |
| 1902287469 | Gateway Dental Surgery Center | Clinic/Center | 10535 Ne Glisan St Ste 101, Portland, OR 97220-4095 | 2015-06-10 |
| 1760861835 | Central Oregon Surgery Center LLC | Clinic/Center | 1835 Nw Pence Ln Ste 100, Bend, OR 97703-1551 | 2015-05-22 |
| 1972902286 | Oregon Specialists Surgery Center LLC | Clinic/Center | 2785 River Rd S, Salem, OR 97302-5883 | 2014-08-22 |
| 1649612698 | Willamette Procedure Center PC | Clinic/Center | 2020 8th Ave Ste 212, West Linn, OR 97068-4657 | 2013-07-18 |
| Find all providers with the same taxonomy | ||||
| City | HAPPY VALLEY |
| Zip Code | 97086 |
Please comment or provide details below to improve the information on EAST PORTLAND SURGERY CENTER LLC.
| 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.