NORTHWEST SPINE AND LASER SURGERY CENTER LLC
NPI 1578817078
Clinic/Center - Ambulatory Surgical in Wilsonville, OR

Active since November 05, 2012CLIA 38D2050384 · Waiver
8995 SW MILEY RD, SUITE 204, WILSONVILLE, OR 97070(267) 760-4734 Get Directions Write a Review

NPPES record last updated: November 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northwest Spine And Laser Surgery Center Llc NPPES

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

NORTHWEST SPINE AND LASER SURGERY CENTER LLC (NPI 1578817078) is a healthcare organization registered as an ambulatory surgical in Wilsonville, Oregon and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through November 26, 2026 and lists Darrell C Brett, President, as its authorized official.

NPPES Registry Identity

NPI1578817078
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNORTHWEST SPINE AND LASER SURGERY CENTER LLC
Location Address8995 SW MILEY RD, SUITE 204Wilsonville, OR 97070-5484
Mailing Address8995 Sw Miley Rd, Suite 204Wilsonville, OR 97070-5484 · (267) 760-4734
Organization SubpartNo
Authorized OfficialDarrell C BrettPresident · (503) 253-6886
Enumeration DateNovember 5, 2012
NPI 1578817078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
8995 SW MILEY RD, Wilsonville, OR 97070

Accepted 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 38D2050384

Northwest Spine And Laser Surgery Center LLC · Wilsonville, OR
Active · expires Nov 26, 2026
CLIA Number38D2050384
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 27, 2024
Certificate Expiration DateNovember 26, 2026
Laboratory DirectorRafe J. Sales MD
Laboratory Phone(801) 694-8600
Laboratory LocationNorthwest Spine And Laser Surgery Center LLC8995 SW Miley Road Suite 204, Wilsonville, OR 97070
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 14

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.

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.
292 services150 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.
102 services37 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.
78 services40 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.
61 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.
58 services52 patients
Insertion of spinal neurostimulator electrode array through skin 63650
This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.
53 services26 patients

Other Providers at the Same Location NPPES 4

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

Anesthesiology
8995 SW MILEY RD, SUITE 204
WILSONVILLE, OR 97070
Clinic/Center (Physical Therapy)
8995 SW MILEY RD, STE 109
WILSONVILLE, OR 97070
Occupational Therapist (Hand)
8995 SW MILEY RD, SUITE 109
WILSONVILLE, OR 97070
Anesthesiology
8995 SW MILEY RD, SUITE 204
WILSONVILLE, OR 97070

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 Northwest Spine And Laser Surgery Center LLC's NPI number?

The NPI number for Northwest Spine And Laser Surgery Center LLC is 1578817078. It was assigned to this organization in the NPPES registry on November 5, 2012.

Where is Northwest Spine And Laser Surgery Center LLC located?

Northwest Spine And Laser Surgery Center LLC is located at 8995 SW Miley Rd Suite 204, Wilsonville, OR 97070. The listed phone number is (267) 760-4734.

What is Northwest Spine And Laser Surgery Center LLC's specialty?

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

Does Northwest Spine And Laser Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2050384) is associated with this NPI, valid through November 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northwest Spine And Laser Surgery Center LLC accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Northwest Spine And Laser 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 Northwest Spine And Laser Surgery Center LLC was last updated on November 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.