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EAST PORTLAND SURGERY CENTER LLC
NPI 1417287137
Clinic/Center - Ambulatory Surgical in Happy Valley, OR

Active since December 31, 2009CLIA 38D1008462 · Waiver
9200 SE 91ST AVE, SUITE 100, HAPPY VALLEY, OR 97086(503) 772-6160(503) 772-6161 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2024, Mar 22, 2023 (2 updates tracked since 2023).

About East Portland Surgery Center Llc NPPES

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

EAST PORTLAND SURGERY CENTER LLC (NPI 1417287137) is a healthcare organization registered as an ambulatory surgical in Happy Valley, Oregon and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through January 20, 2027 and lists Eric Boon, Market President, as its authorized official.

NPPES Registry Identity

NPI1417287137
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameEAST PORTLAND SURGERY CENTER LLC
Location Address9200 SE 91ST AVE, SUITE 100Happy Valley, OR 97086-3756
Mailing Address14201 Dallas PkwyDallas, TX 75254-2916 · (469) 893-2500 · Fax (504) 322-3284
Phone(503) 772-6160
Fax(503) 772-6161
Organization SubpartNo
Authorized OfficialEric BoonMarket President · (480) 567-0269
Enumeration DateDecember 31, 2009
Last NPPES UpdateSeptember 19, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1417287137 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 · 07-1604
9200 SE 91ST AVE, Happy Valley, OR 97086
Open in Google Maps ↗

Other Identifiers 2

Medicaid500624087OR
OtherP00864506OR · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, PacificSource Health Plans 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 38D1008462

East Portland Surgery Center LLC · Portland, OR
Active · expires Jan 20, 2027
CLIA Number38D1008462
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 21, 2025
Certificate Expiration DateJanuary 20, 2027
Laboratory DirectorJohn Domreis
Laboratory Phone(503) 772-6160
Laboratory LocationEast Portland Surgery Center LLC9200 SE 91st Ave Suite 100, Portland, OR 97266
CLIA data matches this NPI record on: 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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
351 services242 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
221 services120 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.
99 services43 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
56 services31 patients
Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level 64479
This procedure involves injecting anesthetic or steroid medication into a specific nerve root in the upper or middle spine. It's performed using imaging technology for precise placement. The aim is to reduce inflammation and alleviate pain.
48 services29 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.
45 services37 patients

Other Providers at the Same Location NPPES 20

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

ROSE CITY HEAD AND NECK SURGERY, LLC
Otolaryngology
9200 SE 91ST AVE
HAPPY VALLEY, OR 97086
Clackamas County (541) 231-5343
COL NORTHWEST LLC
Physiological Laboratory
9200 SE 91ST AVE, SUITE 330
HAPPY VALLEY, OR 97086
Clackamas County (503) 774-7700
MT. SCOTT MEDICAL GROUP LLC
Internal Medicine
9200 SE 91ST AVE, STE 300
PORTLAND, OR 97086
Clackamas County (503) 236-3443
DR. STEPHANIE RUFENER M.D.
Radiology (Diagnostic Radiology)
9200 SE 91ST AVE, SUITE 330
PORTLAND, OR 97086
Clackamas County (503) 774-7700
JORDI X KELLOGG MD PC
Neurological Surgery
9200 SE 91ST AVE, SUITE 340
PORTLAND, OR 97086
Clackamas County (503) 256-1462
ADVANCED SLEEP HEALTH, LLC
Clinic/Center (Sleep Disorder Diagnostic)
9200 SE 91ST AVE, SUITE 240
HAPPY VALLEY, OR 97086
Clackamas County (971) 244-0045
DR. SCOTT D. MILLS M.D.
Radiology (Diagnostic Radiology)
9200 SE 91ST AVE, SUITE 330
HAPPY VALLEY, OR 97086
Clackamas County (503) 774-7700
ARETE NW, LLC
Durable Medical Equipment & Medical Supplies
9200 SE 91ST AVE, SUITE 240
HAPPY VALLEY, OR 97086
Clackamas County (480) 282-6500

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 East Portland Surgery Center LLC's NPI number?

The NPI number for East Portland Surgery Center LLC is 1417287137. It was assigned to this organization in the NPPES registry on December 31, 2009.

Where is East Portland Surgery Center LLC located?

East Portland Surgery Center LLC is located at 9200 SE 91st Ave Suite 100, Happy Valley, OR 97086. The listed phone number is (503) 772-6160.

What is East Portland Surgery Center LLC's specialty?

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

Does East Portland Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D1008462) is associated with this NPI, valid through January 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does East Portland Surgery Center LLC accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list East Portland 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 East Portland Surgery Center LLC was last updated on September 19, 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.