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REBOUND ORTHOPEDIC EAST VANCOUVER OFFICE
NPI 1093237612
Durable Medical Equipment & Medical Supplies in Vancouver, WA

Active since July 14, 2017CLIA 50D2190856 · Waiver
3205 SE 192ND AVE STE 105, VANCOUVER, WA 98683(360) 254-6161 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rebound Orthopedic East Vancouver Office NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBOUND ORTHOPEDIC EAST VANCOUVER OFFICE (NPI 1093237612) is a healthcare organization registered as a durable medical equipment & medical supplies in Vancouver, Washington and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Jay L Crary, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1093237612
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameNORTHWEST SURGICAL SPECIALISTS PC
Location Address3205 SE 192ND AVE STE 105Vancouver, WA 98683-1467
Mailing Address200 Ne Mother Joseph Pl Ste 210Vancouver, WA 98664-3295 · (360) 254-6161
Phone(360) 254-6161
Organization SubpartYes
Authorized OfficialJay L CraryAuthorized Official · (360) 254-6161
Enumeration DateJuly 14, 2017
Last NPPES UpdateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
✔ NPI 1093237612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
3205 SE 192ND AVE STE 105, Vancouver, WA 98683
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Other Names 1

Other NameRebound Orthopedic East Vancouver Office

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2190856

Rebound · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D2190856
Laboratory TypePhysician Office
Certificate Effective DateSeptember 5, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSteve Southerland
Laboratory Phone(360) 449-1075
Laboratory LocationRebound200 NE Mother Joseph Pl Ste 110, Vancouver, WA 98664
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northwest Surgical Specialists PC's NPI number?

The NPI number for Northwest Surgical Specialists PC is 1093237612. It was assigned to this organization in the NPPES registry on July 14, 2017. The provider is also known as Rebound Orthopedic East Vancouver Office.

Where is Northwest Surgical Specialists PC located?

Northwest Surgical Specialists PC is located at 3205 SE 192nd Ave Ste 105, Vancouver, WA 98683. The listed phone number is (360) 254-6161.

What is Northwest Surgical Specialists PC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Northwest Surgical Specialists PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2190856) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northwest Surgical Specialists PC was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.