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GRESHAM STATION SURGERY CENTER LLC
NPI 1235195447
Clinic/Center - Ambulatory Surgical in Gresham, OR

Active since April 25, 2006
831 NW COUNCIL DRIVE, SUITE 212, GRESHAM, OR 97030(503) 907-1907(503) 489-2073 Get Directions Write a Review

NPPES record last updated: May 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gresham Station Surgery Center Llc NPPES

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

GRESHAM STATION SURGERY CENTER LLC (NPI 1235195447) is a healthcare organization registered as an ambulatory surgical in Gresham, Oregon and active in the NPI registry since April 2006. The organization lists Michael Ray Skinner, Administrator, as its authorized official.

NPPES Registry Identity

NPI1235195447
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGRESHAM STATION SURGERY CENTER LLC
Location Address831 NW COUNCIL DRIVE, SUITE 212Gresham, OR 97030
Mailing Address831 Nw Council Drive, Suite 212Gresham, OR 97030 · (503) 907-1907 · Fax (503) 489-2073
Phone(503) 907-1907
Fax(503) 489-2073
Organization SubpartNo
Authorized OfficialMichael Ray SkinnerAdministrator · (503) 907-1907
Enumeration DateApril 25, 2006
Last NPPES UpdateMay 4, 2010
✔ NPI 1235195447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Licenses✔ Licensed in OR · 07-1567✔ Licensed in OR · 394819
831 NW COUNCIL DRIVE, Gresham, OR 97030
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Other Identifiers 3

Medicaid213664OR
Medicare UPINR132134
Medicare PIN132134

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 Gresham Station Surgery Center LLC's NPI number?

The NPI number for Gresham Station Surgery Center LLC is 1235195447. It was assigned to this organization in the NPPES registry on April 25, 2006.

Where is Gresham Station Surgery Center LLC located?

Gresham Station Surgery Center LLC is located at 831 NW Council Drive Suite 212, Gresham, OR 97030. The listed phone number is (503) 907-1907.

What is Gresham Station Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Gresham Station Surgery Center LLC was last updated on May 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.