NORTHWEST AMBULATORY SURGERY CENTER
NPI 1245482280
Clinic/Center - Ambulatory Surgical in Portland, OR

Q: What is Northwest Ambulatory Surgery Center LLC's specialty?

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

Active since October 22, 2008CLIA 38D1030776 · Waiver

1515 NW 18TH AVE, STE 200, PORTLAND, OR 97209(503) 542-4888(503) 542-2813 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2021, Jul 15, 2020, May 21, 2019 (3 updates tracked since 2019).

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About Northwest Ambulatory Surgery Center NPPES

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

NORTHWEST AMBULATORY SURGERY CENTER (NPI 1245482280) is a healthcare organization registered as an ambulatory surgical in Portland, Oregon and active in the NPI registry since October 2008. The organization holds a CLIA Waiver certificate valid through March 1, 2028 and lists Eric Boon, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1245482280

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameNORTHWEST AMBULATORY SURGERY CENTER LLC

Location Address1515 NW 18TH AVE, STE 200Portland, OR 97209-2516

Mailing Address14201 Dallas PkwyDallas, TX 75254-2916 · (503) 542-4888 · Fax (503) 542-2813

Phone(503) 542-4888

Fax(503) 542-2813

Organization SubpartNo

Authorized OfficialEric BoonOfficer/authorized Official · (480) 567-0269

Enumeration DateOctober 22, 2008

Last NPPES UpdateOctober 14, 20243 updates tracked since enumeration

NPPES CertifiedOctober 14, 2024

✔ NPI 1245482280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in OR · 07 1564

1515 NW 18TH AVE, Portland, OR 97209

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Other Names 1

Doing Business AsNorthwest Ambulatory Surgery Center

Other Identifiers 1

OtherP00722196OR · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

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 38D1030776

Northwest Ambulatory Surgery Center · Portland, OR

Active · expires Mar 1, 2028

CLIA Number38D1030776

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMarch 2, 2026

Certificate Expiration DateMarch 1, 2028

Laboratory DirectorMark Norling

Laboratory Phone(503) 542-4888

Laboratory LocationNorthwest Ambulatory Surgery Center1515 NW 18th Ave Suite 200, Portland, OR 97209

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, bupivacaine liposome, 1 mg C9290

Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.

25,137 services175 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

91 services84 patients

Imaging guidance for procedure, 60 minutes or less 76000

Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.

75 services71 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

52 services49 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

48 services14 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

36 services22 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

31 services19 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

27 services27 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

21 services17 patients

Release of tendon connecting biceps muscle and shoulder using an endoscope 29828

This procedure involves using a small camera, known as an endoscope, to view and release the tendon connecting your biceps muscle and shoulder. It can help reduce pain and improve mobility. The procedure is minimally invasive, promoting quicker recovery.

18 services18 patients

Anchoring of biceps tendon 23430

Anchoring of the biceps tendon is a surgical procedure aimed at restoring stability to your arm. The surgeon secures your biceps tendon to the bone using special anchors, which helps to reduce pain and improve arm function.

13 services12 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

13 services12 patients

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JAMES ROBERT WEGGENMAN PT

Physical Therapist

1515 NW 18TH AVE, STE 400, PETTYGROVE PHYSICAL THERAPY AND SPORTS REHAB.
PORTLAND, OR 97209

Multnomah County (503) 228-1306

MR. LEO FRANCIS QUINN JR. PT

Physical Therapist

1515 NW 18TH AVE, STE 400
PORTLAND, OR 97209

Multnomah County (503) 228-1306

DR. IRA M WEINTRAUB MD

Orthopaedic Surgery (Sports Medicine)

1515 NW 18TH AVE, SUITE 300
PORTLAND, OR 97209

Multnomah County (503) 224-8399

MR. JUSTIN ROBERT THIBEAULT PA-C

Physician Assistant (Surgical)

1515 NW 18TH AVE, 3RD FLOOR
PORTLAND, OR 97209

Multnomah County (503) 224-8399

BARRY A JACOSHENK PA-C

Physician Assistant (Surgical)

1515 NW 18TH AVE, SUITE 300
PORTLAND, OR 97209

Multnomah County (503) 224-8399

RONALYN C REYES PA-C

Physician Assistant

1515 NW 18TH AVE
PORTLAND, OR 97209

Multnomah County (503) 224-8399

MRS. KATHERINE DESPINA BRADEN DPT

Physical Therapist

1515 NW 18TH AVE, SUITE 400
PORTLAND, OR 97209

Multnomah County (503) 228-1306

ROSE CITY PHYSICAL THERAPY ASSOCIATES, LLC

Clinic/Center (Physical Therapy)

1515 NW 18TH AVE, SUITE 400
PORTLAND, OR 97209

Multnomah County (503) 228-1306

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 Ambulatory Surgery Center LLC's NPI number?

The NPI number for Northwest Ambulatory Surgery Center LLC is 1245482280. It was assigned to this organization in the NPPES registry on October 22, 2008. The provider is doing business as Northwest Ambulatory Surgery Center.

Where is Northwest Ambulatory Surgery Center LLC located?

Northwest Ambulatory Surgery Center LLC is located at 1515 NW 18th Ave Ste 200, Portland, OR 97209. The listed phone number is (503) 542-4888.

What is Northwest Ambulatory Surgery Center LLC's specialty?

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

Does Northwest Ambulatory Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D1030776) is associated with this NPI, valid through March 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northwest Ambulatory Surgery Center LLC accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Northwest Ambulatory Surgery Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northwest Ambulatory Surgery Center LLC was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

About Northwest Ambulatory Surgery Center NPPES

NPPES Registry Identity

Specialties & Licenses

Other Names 1

Other Identifiers 1

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 38D1030776

Areas of Expertise CMS Part B claims 12

Other Providers at the Same Location NPPES 18

Frequently Asked Questions NPPES & CMS

What is Northwest Ambulatory Surgery Center LLC's NPI number?

Where is Northwest Ambulatory Surgery Center LLC located?

What is Northwest Ambulatory Surgery Center LLC's specialty?

Does Northwest Ambulatory Surgery Center LLC hold a CLIA laboratory certificate?

What insurance does Northwest Ambulatory Surgery Center LLC accept?

When was this NPI record last updated?

Certificate of Waiver 38D1030776