AMBULATORY SURGICAL CENTER (NPI# 1710992680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710992680 |
| Entity Type | Organization |
| Organization Name | AMBULATORY SURGICAL CENTER |
| Other Organization Name | AESTHETIC BREAST AND COSMETIC SURGERY CENTER |
| Practice Address |
10201 Se Main St Ste 20 Portland OR 97216-2937 |
| Practice Telephone | 5032533458 |
| Practice Fax Number | 5032530856 |
| Mailing Telephone | 5032533458 |
| Mailing Fax Number | 5032530856 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2008-06-13 |
| Authorized Official Name | DR. RONALD V DEMARS (ADMINISTRATOR) |
| Authorized Official Telephone | 5032533458 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
071438 | OR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Aesthetic Breast and Cosmetic Surgery Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | AMBULATORY SURGICAL CENTER OF DANVILLE | 142 S Main St, Danville, Virginia 24541 |
| Street Address |
10201 SE MAIN ST STE 20 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216-2937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780844134 | Michael F. Bohley, M.d.,p.c. | Plastic Surgery | 10201 Se Main St Ste 20, Portland, OR 97216-2937 | 2008-06-10 |
| 1093723470 | Michael F. Bohley | Plastic Surgery | 10201 Se Main St Ste 20, Portland, OR 97216-2937 | 2006-08-03 |
| 1902814387 | Ronald V Demars | Plastic Surgery | 10201 Se Main St Ste 20, Portland, OR 97216-2937 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
| Find all providers in zip 97216 | ||||
| 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 |
| 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 |
| 1518382936 | Spectrum Healthcare Partners, P.a | Clinic/Center | 33 Sewall St, Portland, ME 04102-2603 | 2014-02-21 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on AMBULATORY SURGICAL CENTER.
| 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.