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THE PORTLAND CLINIC SURGICAL CENTER
NPI 1427144336
Clinic/Center - Ambulatory Surgical in Portland, OR

Active since October 05, 2006CLIA Certified · 7 labs
800 SW 13TH AVE, PORTLAND, OR 97205(503) 221-0161(503) 221-4451 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Portland Clinic Surgical Center NPPES

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

THE PORTLAND CLINIC SURGICAL CENTER (NPI 1427144336) is a healthcare organization registered as an ambulatory surgical in Portland, Oregon and active in the NPI registry since October 2006. The organization holds 7 active CLIA laboratory certificates and lists Dick Clark, Ceo, as its authorized official.

NPPES Registry Identity

NPI1427144336
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePORTLAND CLINIC
Location Address800 SW 13TH AVEPortland, OR 97205
Mailing Address800 Sw 13th AvePortland, OR 97205 · (503) 221-0161 · Fax (503) 274-1697
Phone(503) 221-0161
Fax(503) 221-4451
Organization SubpartYes
Authorized OfficialDick ClarkCeo · (503) 221-0161
Enumeration DateOctober 5, 2006
Last NPPES UpdateOctober 26, 2020
NPPES CertifiedOctober 26, 2020
✔ NPI 1427144336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
800 SW 13TH AVE, Portland, OR 97205
Open in Google Maps ↗

Other Names 1

Doing Business AsThe Portland Clinic Surgical Center

CLIA Laboratory Certificates CMS CLIA 7

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 Compliance 38D0623515

Portland Clinic, The Downtown · Portland, OR
Active · expires Dec 11, 2026
CLIA Number38D0623515
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorDr. Raymond C. Harry
Laboratory Phone(503) 221-0161
Laboratory LocationPortland Clinic, The Downtown800 SW 13th Ave, Portland, OR 97205
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 38D1080786

Portland Clinic-Alberty Surgical Center, The · Tigard, OR
Active · expires Feb 29, 2028
CLIA Number38D1080786
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorKaren Bingham
Laboratory Phone(503) 221-0161
Laboratory LocationPortland Clinic-Alberty Surgical Center, The9100 SW Oleson Rd, Tigard, OR 97223
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 38D1015651

Portland Clinic-Tigard Medical Office, The · Tigard, OR
Active · expires Nov 24, 2027
CLIA Number38D1015651
Laboratory TypePhysician Office
Certificate Effective DateNovember 25, 2025
Certificate Expiration DateNovember 24, 2027
Laboratory DirectorMs. Karen S. Bingham
Laboratory Phone(503) 221-0161
Laboratory LocationPortland Clinic-Tigard Medical Office, The9250 SW Hall Blvd, Tigard, OR 97223
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 38D0621668

Portland Clinic, Beaverton, The · Beaverton, OR
Active · expires Dec 6, 2026
CLIA Number38D0621668
Laboratory TypePractitioner Other
Certificate Effective DateDecember 7, 2024
Certificate Expiration DateDecember 6, 2026
Laboratory DirectorKaren Bingham
Laboratory Phone(503) 221-0161
Laboratory LocationPortland Clinic, Beaverton, The15950 SW Millikan Way, Beaverton, OR 97003
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 38D0624121

Portland Clinic Northeast, The · Portland, OR
Active · expires Oct 21, 2026
CLIA Number38D0624121
Laboratory TypePhysician Office
Certificate Effective DateOctober 22, 2024
Certificate Expiration DateOctober 21, 2026
Laboratory DirectorMs. Karen S. Bingham
Laboratory Phone(503) 221-0161
Laboratory LocationPortland Clinic Northeast, The5005 NE Sandy St, Portland, OR 97213
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 38D0667118

Portland Clinic - South, The · Portland, OR
Active · expires Sep 8, 2026
CLIA Number38D0667118
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateSeptember 9, 2024
Certificate Expiration DateSeptember 8, 2026
Laboratory DirectorKaren Bingham
Laboratory Phone(503) 221-0161
Laboratory LocationPortland Clinic - South, The6640 SW Redwood Lane, Portland, OR 97224
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

THOMAS FREDERICK HIRSH MD
Radiology (Body Imaging)
800 SW 13TH AVE
PORTLAND, OR 97205
Multnomah County (503) 221-0161
THE PORTLAND CLINIC LABORATORY
Clinical Medical Laboratory
800 SW 13TH AVE
PORTLAND, OR 97205
Multnomah County (503) 221-0161
AMY L MULCASTER DO
Obstetrics & Gynecology (Gynecology)
800 SW 13TH AVE
PORTLAND, OR 97205
Multnomah County (503) 221-0161
JODY L PETTIT MD
Internal Medicine
800 SW 13TH AVE
PORTLAND, OR 97205
Multnomah County (503) 221-0161
CLIFFORD LEWIS COOPER MD
Internal Medicine
800 SW 13TH AVE
PORTLAND, OR 97205
Multnomah County (503) 221-0161
MARIE LOUISE DHULST MD
Internal Medicine
800 SW 13TH AVE
PORTLAND, OR 97205
Multnomah County (503) 221-0161
JEFFREY C CLEVEN MD
Internal Medicine
800 SW 13TH AVE
PORTLAND, OR 97205
Multnomah County (503) 221-0161
DR. RYAN GORGER OD
Optometrist
800 SW 13TH AVE
PORTLAND, OR 97205
Multnomah County (503) 221-0161

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 Portland Clinic's NPI number?

The NPI number for Portland Clinic is 1427144336. It was assigned to this organization in the NPPES registry on October 5, 2006. The provider is doing business as The Portland Clinic Surgical Center.

Where is Portland Clinic located?

Portland Clinic is located at 800 SW 13th Ave, Portland, OR 97205. The listed phone number is (503) 221-0161.

What is Portland Clinic's specialty?

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

Does Portland Clinic hold CLIA laboratory certificates?

Yes. 7 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Portland Clinic was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.