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

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: July 19, 2026.

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

  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 38D1030776
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-01-2028

About NORTHWEST AMBULATORY SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Northwest Ambulatory Surgery Center, a provider established in Portland, Oregon operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1245482280 assigned on October 2008. The practitioner's primary taxonomy code is 261QA1903X with license number 07 1564 (OR). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Northwest Ambulatory Surgery Center. The authorized official of this NPI record is Eric Boon (Officer/authorized Official)

NPI
1245482280 Verify this NPI
Provider Legal Name
NORTHWEST AMBULATORY SURGERY CENTER LLC
Other Organization Name
NORTHWEST AMBULATORY SURGERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1515 NW 18TH AVE STE 200 PORTLAND, OR 97209
Location Phone
(503) 542-4888
Location Fax
(503) 542-2813
Mailing Address
14201 DALLAS PKWY DALLAS, TX 75254
Mailing Phone
(503) 542-4888
Mailing Fax
(503) 542-2813
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-22-2008
Last Update Date
10-14-2024
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
07 1564
License State
OR

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • Connect 1500 Gold - EPO
  • Connect 6000 Silver - EPO
  • Connect 9800 Bronze - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Bronze 8000 Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Legacy - EPO
  • Bronze HSA 7000 Individual Connect - EPO
  • Gold 2300 Individual Connect - EPO
  • Gold 2300 Legacy - EPO
  • Regence Standard Bronze Plan Individual Connect - EPO
  • Regence Standard Bronze Plan Legacy - EPO
  • Regence Standard Gold Plan Individual Connect - EPO
  • Regence Standard Gold Plan Legacy - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ERIC BOON

Authorized Official Title
OFFICER/AUTHORIZED OFFICIAL
Authorized Official Phone
(480) 567-0269

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
P00722196OTHER (01)ORRAILROAD MEDICARE

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Anchoring of biceps tendon

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.

This service was performed 13 times for 12 patients

Imaging guidance for procedure, 60 minutes or less

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.

This service was performed 75 times for 71 patients

Incision of tendon covering of finger

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.

This service was performed 36 times for 22 patients

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

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.

This service was performed 48 times for 14 patients

Injection of substance into lower spine canal using imaging guidance

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.

This service was performed 31 times for 19 patients

Injection, bupivacaine liposome, 1 mg

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.

This service was performed 25,137 times for 175 patients

Prosthetic repair of shoulder joint, total shoulder

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.

This service was performed 13 times for 12 patients

Release and/or relocation of hand nerve

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.

This service was performed 21 times for 17 patients

Release of tendon connecting biceps muscle and shoulder using an endoscope

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.

This service was performed 18 times for 18 patients

Repair of shoulder rotator cuff using an endoscope

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.

This service was performed 27 times for 27 patients

Replacement of knee joint, both sides of knee

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.

This service was performed 91 times for 84 patients

Replacement of thigh bone and hip joint with prosthesis

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.

This service was performed 52 times for 49 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
38D1030776
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
March 02, 2026
Certificate Expiration Date
March 01, 2028
Laboratory Director
MARK NORLING
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Northwest Ambulatory Surgery Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Physical Therapist
1515 NW 18TH AVE, STE 400
PORTLAND, OR 97209
Physical Therapist
1515 NW 18TH AVE, STE 400, PETTYGROVE PHYSICAL THERAPY AND SPORTS REHAB.
PORTLAND, OR 97209
Physical Therapist
1515 NW 18TH AVE, SUITE 400
PORTLAND, OR 97209
Physical Therapist
1515 NW 18TH AVE, SUITE 400
PORTLAND, OR 97209
Orthopaedic Surgery (Sports Medicine)
1515 NW 18TH AVE, SUITE 300
PORTLAND, OR 97209
Orthopaedic Surgery (Sports Medicine)
1515 NW 18TH AVE, SUITE 300
PORTLAND, OR 97209
Orthopaedic Surgery (Sports Medicine)
1515 NW 18TH AVE, SUITE 300
PORTLAND, OR 97209
Orthopaedic Surgery (Sports Medicine)
1515 NW 18TH AVE, SUITE 300
PORTLAND, OR 97209
Orthopaedic Surgery (Sports Medicine)
1515 NW 18TH AVE, SUITE 300
PORTLAND, OR 97209
Physical Therapist
1515 NW 18TH AVE
PORTLAND, OR 97209
Physician Assistant (Surgical)
1515 NW 18TH AVE, SUITE 300
PORTLAND, OR 97209
Prosthetic/Orthotic Supplier
1515 NW 18TH AVE, SUITE 100
PORTLAND, OR 97209
Physical Therapist
1515 NW 18TH AVE, STE 400
PORTLAND, OR 97209
Clinic/Center (Physical Therapy)
1515 NW 18TH AVE, SUITE 400
PORTLAND, OR 97209
Acupuncturist
1515 NW 18TH AVE, SUITE 400
PORTLAND, OR 97209
Physician Assistant (Surgical)
1515 NW 18TH AVE, 3RD FLOOR
PORTLAND, OR 97209
Physician Assistant
1515 NW 18TH AVE
PORTLAND, OR 97209
Registered Nurse (Ambulatory Care)
1515 NW 18TH AVE
PORTLAND, OR 97209

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245482280, enumerated as an "organization" on October 22, 2008.

The provider is located at 1515 NW 18TH AVE STE 200 PORTLAND, OR 97209 and the phone number is (503) 542-4888.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: BridgeSpan Health Company, PacificSource Health. Please consult your insurance carrier or call the provider to verify.