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AESTHETIC BREAST AND COSMETIC SURGERY CENTER
NPI 1710992680
Clinic/Center - Ambulatory Surgical in Portland, OR

Active since July 29, 2006CLIA 38D2084893 · Waiver
10201 SE MAIN ST STE 20, PORTLAND, OR 97216(503) 253-3458(503) 253-0856 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Aesthetic Breast And Cosmetic Surgery Center NPPES

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

AESTHETIC BREAST AND COSMETIC SURGERY CENTER (NPI 1710992680) is a healthcare organization registered as an ambulatory surgical in Portland, Oregon and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through October 1, 2026 and lists Ronald V Demars, Administrator, as its authorized official.

NPPES Registry Identity

NPI1710992680
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameAMBULATORY SURGICAL CENTER
Location Address10201 SE MAIN ST STE 20Portland, OR 97216-2937
Mailing Address10201 Se Main St Ste 20Portland, OR 97216-2937 · (503) 253-3458 · Fax (503) 253-0856
Phone(503) 253-3458
Fax(503) 253-0856
Organization SubpartNo
Authorized OfficialRonald V DemarsAdministrator · (503) 253-3458
Enumeration DateJuly 29, 2006
Last NPPES UpdateJune 13, 2008
✔ NPI 1710992680 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 · 071438
10201 SE MAIN ST STE 20, Portland, OR 97216
Open in Google Maps ↗

Other Names 1

Doing Business AsAesthetic Breast And Cosmetic Surgery Center

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 38D2084893

Aesthetic Breast And Cosmetic Surgery Center · Portland, OR
Active · expires Oct 1, 2026
CLIA Number38D2084893
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 2, 2024
Certificate Expiration DateOctober 1, 2026
Laboratory DirectorMichael F Bohley MD
Laboratory Phone(503) 253-3458
Laboratory LocationAesthetic Breast And Cosmetic Surgery Center10201 SE Main St Suite 20, Portland, OR 97216
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DR. MICHAEL F. BOHLEY M.D.,P.C.
Plastic Surgery
10201 SE MAIN ST STE 20
PORTLAND, OR 97216
Multnomah County (503) 253-3458
GILSON PLASTIC SURGERY LLC
Surgery (Plastic and Reconstructive Surgery)
10201 SE MAIN ST STE 20
PORTLAND, OR 97216
Multnomah County (503) 897-8999
AARON GILSON D.O.
Surgery (Plastic and Reconstructive Surgery)
10201 SE MAIN ST STE 20
PORTLAND, OR 97216
Multnomah County (503) 897-8999
MICHAEL F. BOHLEY, M.D.,P.C.
Plastic Surgery
10201 SE MAIN ST STE 20
PORTLAND, OR 97216
Multnomah County (503) 253-3458
DR. RONALD V DEMARS MD
Plastic Surgery
10201 SE MAIN ST STE 20
PORTLAND, OR 97216
Multnomah County (503) 253-3458

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 Ambulatory Surgical Center's NPI number?

The NPI number for Ambulatory Surgical Center is 1710992680. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Aesthetic Breast And Cosmetic Surgery Center.

Where is Ambulatory Surgical Center located?

Ambulatory Surgical Center is located at 10201 SE Main St Ste 20, Portland, OR 97216. The listed phone number is (503) 253-3458.

What is Ambulatory Surgical Center's specialty?

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

Does Ambulatory Surgical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2084893) is associated with this NPI, valid through October 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ambulatory Surgical Center was last updated on June 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.