THE PORTLAND CLINIC SURGICAL CENTER
NPI 1427144336
Clinic/Center - Ambulatory Surgical in Portland, OR
NPI Status: Active since October 05, 2006
Contact Information
800 SW 13TH AVE
PORTLAND, OR
ZIP 97205
Phone: (503) 221-0161
Fax: (503) 221-4451
- Organization
- Clinic/Center
- Ambulatory Surgical
- Accepts Insurance
- CLIA Number: 38D0621668
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 12-06-2026
About THE PORTLAND CLINIC SURGICAL CENTER
This page provides the complete NPI Profile along with additional information for The Portland Clinic Surgical 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 1427144336 assigned on October 2006. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as The Portland Clinic Surgical Center. The authorized official of this NPI record is Mr. Dick Clark (Ceo)
- NPI
- 1427144336
- Provider Legal Name
- PORTLAND CLINIC
- Other Organization Name
- THE PORTLAND CLINIC SURGICAL CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 800 SW 13TH AVE PORTLAND, OR 97205
- Location Phone
- (503) 221-0161
- Location Fax
- (503) 221-4451
- Mailing Address
- 800 SW 13TH AVE PORTLAND, OR 97205
- Mailing Phone
- (503) 221-0161
- Mailing Fax
- (503) 221-4451
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-05-2006
- Last Update Date
- 10-26-2020
- Code Navigator
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
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- KP OR Bronze 6000 - EPO
- KP OR Bronze HSA 7100 - EPO
- KP OR Gold 0 - EPO
- KP OR Gold 1750 - EPO
- KP OR Silver 3000 - EPO
- KP OR Silver 4000 - EPO
- KP Oregon Standard Bronze Plan - EPO
- KP Oregon Standard Gold Plan - EPO
- KP Oregon Standard Silver Plan - EPO
- KP OR Family Dental - $100 Ded - EPO
- KP OR Family Dental - $1000 - EPO
- KP OR Family Dental - $1000/$50 Ded - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 38D0621668
- Facility Type
- Practitioner Other
- Certificate Effective Date
- December 07, 2024
- Certificate Expiration Date
- December 06, 2026
- Laboratory Director
- KAREN BINGHAM
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to The Portland Clinic Surgical Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 1 | 4 | 4 | 3 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 2 | 4 | 8 | 3 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 2 + 4 + 8 + 3 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1427144336 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
MS. MURAL J. NISHIKAWA MD
Internal Medicine
800 SW 13TH AVE
PORTLAND, OR
ZIP 97205
CURTIS PERSONS PT
Physical Therapist
800 SW 13TH AVE
PORTLAND, OR
ZIP 97205
CLIFFORD LEWIS COOPER MD
Internal Medicine
800 SW 13TH AVE
PORTLAND, OR
ZIP 97205
MICHELLE ELISABETH GROVE ANP
Nurse Practitioner
800 SW 13TH AVE
PORTLAND, OR
ZIP 97205
BURTON WAYNE LAZAR MD
Internal Medicine
800 SW 13TH AVE
PORTLAND, OR
ZIP 97205
GARY DUANE ERICSON MD
Internal Medicine
800 SW 13TH AVE
PORTLAND, OR
ZIP 97205
JEFFREY C CLEVEN MD
Internal Medicine
800 SW 13TH AVE
PORTLAND, OR
ZIP 97205
BRIAN STEPHEN TRAFFICANTE MD
Internal Medicine
800 SW 13TH AVE
PORTLAND, OR
ZIP 97205
DR. MATTHEW MASON BOOKWALTER DPM
Podiatrist
800 SW 13TH AVE
PORTLAND, OR
ZIP 97205
THOMAS FREDERICK HIRSH MD
Radiology
(Body Imaging)
800 SW 13TH AVE
PORTLAND, OR
ZIP 97205
JENNIFER DEBOER ROARK RD LD
Dietitian, Registered
800 SW 13TH AVE
PORTLAND, OR
ZIP 97205
ROGER ELLIS ALBERTY MD
Surgery
800 SW 13TH AVE
PORTLAND, OR
ZIP 97205
PHILIP JARVIS DOLAN MD
Internal Medicine
(Gastroenterology)
800 SW 13TH AVE
PORTLAND, OR
ZIP 97205
MS. LIA KIMI YAMAMOTO PT DPT
Physical Therapist
800 SW 13TH AVE
PORTLAND, OR
ZIP 97205
LAURA CHAN
Pharmacist
(Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
800 SW 13TH AVE
PORTLAND, OR
ZIP 97205
ALEXANDER BULOCHNIK SHTEYNBERG PHARM.D., MBA
Pharmacist
(Ambulatory Care)
800 SW 13TH AVE
PORTLAND, OR
ZIP 97205
AMANDA WELTER
Physical Therapist
(Orthopedic)
800 SW 13TH AVE
PORTLAND, OR
ZIP 97205
CHELSEA SAETTONE LCSW
Social Worker
(Clinical)
800 SW 13TH AVE
PORTLAND, OR
ZIP 97205
DR. CHANDNI PATEL PHARMD
Pharmacist
800 SW 13TH AVE
PORTLAND, OR
ZIP 97205
THE PORTLAND CLINIC LABORATORY
Clinical Medical Laboratory
800 SW 13TH AVE
PORTLAND, OR
ZIP 97205
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427144336, enumerated as an "organization" on October 05, 2006.
The provider is located at 800 SW 13TH AVE PORTLAND, OR 97205 and the phone number is (503) 221-0161.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
The provider might be accepting Accepts: Kaiser Permanente. Please consult your insurance carrier or call the provider to verify.
