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REBOUND NEUROSURGERY AT GOOD SAM
NPI 1710409347
Durable Medical Equipment & Medical Supplies in Portland, OR

Active since July 14, 2017
1040 NW 22ND AVE STE 610, PORTLAND, OR 97210(360) 254-6161 Get Directions Write a Review

NPPES record last updated: July 14, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rebound Neurosurgery At Good Sam NPPES

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

REBOUND NEUROSURGERY AT GOOD SAM (NPI 1710409347) is a healthcare organization registered as a durable medical equipment & medical supplies in Portland, Oregon and active in the NPI registry since July 2017. The organization lists Jay L Crary, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1710409347
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameNORTHWEST SURGICAL SPECIALISTS PC
Location Address1040 NW 22ND AVE STE 610Portland, OR 97210-3066
Mailing Address200 Ne Mother Joseph Pl Ste 210Vancouver, WA 98664-3295 · (360) 254-6161
Phone(360) 254-6161
Organization SubpartYes
Authorized OfficialJay L CraryAuthorized Official · (360) 254-6161
Enumeration DateJuly 14, 2017
✔ NPI 1710409347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1040 NW 22ND AVE STE 610, Portland, OR 97210
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Other Names 1

Other NameRebound Neurosurgery At Good Sam

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 Surgical Specialists PC's NPI number?

The NPI number for Northwest Surgical Specialists PC is 1710409347. It was assigned to this organization in the NPPES registry on July 14, 2017. The provider is also known as Rebound Neurosurgery At Good Sam.

Where is Northwest Surgical Specialists PC located?

Northwest Surgical Specialists PC is located at 1040 NW 22nd Ave Ste 610, Portland, OR 97210. The listed phone number is (360) 254-6161.

What is Northwest Surgical Specialists PC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Northwest Surgical Specialists PC was last updated on July 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.