EAST PAVILION SURGERY CENTER
NPI 1316449168
Clinic/Center - Ambulatory Surgical in Portland, OR

Q: What is Surgery Center At St. Vincent, LLC's NPI number?

The NPI number for Surgery Center At St. Vincent, LLC is 1316449168. It was assigned to this organization in the NPPES registry on March 7, 2018. The provider is doing business as East Pavilion Surgery Center.

Q: What is Surgery Center At St. Vincent, LLC's specialty?

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

Active since March 07, 2018CLIA 38D2166408 · Waiver

9135 SW BARNES RD STE 161, PORTLAND, OR 97225(971) 339-7791 Get Directions Write a Review

NPPES record last updated: July 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 16, 2019, Aug 23, 2018, May 2, 2018 and 2 more (5 updates tracked since 2018).

On this page

About East Pavilion Surgery Center NPPES

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

EAST PAVILION SURGERY CENTER (NPI 1316449168) is a healthcare organization registered as an ambulatory surgical in Portland, Oregon and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through May 15, 2027 and lists Bruce Dudley, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1316449168

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSURGERY CENTER AT ST. VINCENT, LLC

Location Address9135 SW BARNES RD STE 161Portland, OR 97225

Mailing Address9135 Sw Barnes Rd Ste 161Portland, OR 97225-6646 · (971) 339-7791

Phone(971) 339-7791

Organization SubpartNo

Authorized OfficialBruce DudleyChief Administrative Officer · (971) 339-7791

Enumeration DateMarch 7, 2018

Last NPPES UpdateJuly 16, 20195 updates tracked since enumeration

✔ NPI 1316449168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

9135 SW BARNES RD STE 161, Portland, OR 97225

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Other Names 1

Doing Business AsEast Pavilion Surgery Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Providence Health Plan.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 38D2166408

Surgery Center At St Vincent, LLC Dba East Pavilion Surgery Center · Portland, OR

Active · expires May 15, 2027

CLIA Number38D2166408

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMay 16, 2025

Certificate Expiration DateMay 15, 2027

Laboratory DirectorAnand Jain

Laboratory Phone(503) 991-9976

Laboratory LocationSurgery Center At St Vincent, LLC Dba East Pavilion Surgery Center9135 SW Barnes Road, Suite 161, Portland, OR 97225

CLIA data matches this NPI record on: Address Name

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

Areas of Expertise CMS Part B claims 16

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.

Removal of nasal air passage under lining tissue 30140

This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.

62 services31 patients

Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope 52601

This procedure involves the careful removal of a small gland located in the lower body using a special heated knife, inserted through a natural body passage. An endoscope, a thin tube with a light and camera, helps to manage any bleeding. The aim is to alleviate discomfort and improve overall health.

55 services55 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

46 services41 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

43 services38 patients

Exploration of nasal sinus using an endoscope 31276

Exploration of the nasal sinus using an endoscope is a procedure where a thin, flexible tube with a light and camera attached is inserted into the nose. This allows the doctor to view and examine the sinuses in detail, aiding in the diagnosis and treatment of sinus issues.

33 services19 patients

Reshaping of nasal cartilage 30520

Reshaping of nasal cartilage, also known as rhinoplasty, is a surgical procedure to modify the structure of the nose for aesthetic or functional purposes. It involves adjusting the cartilage and bone in the nose to achieve the desired shape or to improve breathing.

30 services29 patients

Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm 52235

This procedure involves using a thin, flexible tool called an endoscope to examine and remove a growth in your bladder and urethra. The growth size ranges from 2.0-5.0 cm. This is done to ensure your urinary system functions properly.

27 services23 patients

Exam of nose and sinus with removal of nasal sinus using an endoscope 31257

This procedure involves using an endoscope, a thin tube with a light and camera, to examine your nose and sinuses. If necessary, unwanted tissue from the nasal sinus is removed. This can help improve breathing and alleviate sinus issues.

22 services14 patients

Partial removal of breast 19301

A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.

21 services20 patients

Incision of nasal sinus using an endoscope 31256

This procedure, called endoscopic sinus surgery, involves using a thin, flexible tube with a light and camera on the end, known as an endoscope. It's inserted into the nasal passages to view and remove obstructions in the sinuses, helping to alleviate symptoms.

21 services14 patients

Repair of groin hernia (5 years or older) 49505

Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.

21 services20 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

20 services18 patients

Shock wave crushing of kidney stones 50590

Shock wave crushing of kidney stones, also known as Extracorporeal Shock Wave Lithotripsy (ESWL), is a non-invasive treatment. It involves the use of sound waves to break down kidney stones into small pieces that can easily pass through your urinary tract.

16 services16 patients

Repair of nasal passage 30465

Repair of the nasal passage is a surgical procedure aimed at correcting problems in your nose that cause difficulty in breathing or other discomforts. It can address issues like a deviated septum, nasal polyps, or chronic sinusitis. The goal is to improve your quality of life.

13 services12 patients

Removal of spine bone for insertion of neurostimulator electrode plate in spine 63655

This procedure involves removing a small part of the spine bone to place a neurostimulator electrode plate. This device can help manage pain signals from the spine to the brain, improving comfort and quality of life. The process is performed by skilled surgeons in a safe environment.

11 services11 patients

Insertion or replacement of spinal neurostimulator generator or receiver 63685

The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.

11 services11 patients

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 Surgery Center At St. Vincent, LLC's NPI number?

The NPI number for Surgery Center At St. Vincent, LLC is 1316449168. It was assigned to this organization in the NPPES registry on March 7, 2018. The provider is doing business as East Pavilion Surgery Center.

Where is Surgery Center At St. Vincent, LLC located?

Surgery Center At St. Vincent, LLC is located at 9135 SW Barnes Rd Ste 161, Portland, OR 97225. The listed phone number is (971) 339-7791.

What is Surgery Center At St. Vincent, LLC's specialty?

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

Does Surgery Center At St. Vincent, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2166408) is associated with this NPI, valid through May 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Surgery Center At St. Vincent, LLC accept?

Health plans from Kaiser Permanente and Providence Health Plan list Surgery Center At St. Vincent, 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 Surgery Center At St. Vincent, LLC was last updated on July 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.