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COLUMBIA RIVER SURGERY CENTER LLC
NPI 1780959007
Clinic/Center - Ambulatory Surgical in Portland, OR

Active since March 20, 2012CLIA 38D2040075 · Waiver
9820 NE CASCADES PKWY, PORTLAND, OR 97220(541) 991-1006(503) 389-7334 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2026, Nov 25, 2025, Aug 6, 2025 (3 updates tracked since 2025).

About Columbia River Surgery Center Llc NPPES

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

COLUMBIA RIVER SURGERY CENTER LLC (NPI 1780959007) is a healthcare organization registered as an ambulatory surgical in Portland, Oregon and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through April 22, 2028 and lists Eric Boon, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1780959007
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCOLUMBIA RIVER SURGERY CENTER LLC
Location Address9820 NE CASCADES PKWYPortland, OR 97220-6825
Mailing Address9820 Ne Cascades PkwyPortland, OR 97220-6825 · (541) 991-1006 · Fax (503) 389-7334
Phone(541) 991-1006
Fax(503) 389-7334
Organization SubpartNo
Authorized OfficialEric BoonOfficer/authorized Official · (480) 567-0269
Enumeration DateMarch 20, 2012
Last NPPES UpdateJanuary 9, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2026
✔ NPI 1780959007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
9820 NE CASCADES PKWY, Portland, OR 97220
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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 38D2040075

Columbia River Surgery Center LLC · Portland, OR
Active · expires Apr 22, 2028
CLIA Number38D2040075
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 23, 2026
Certificate Expiration DateApril 22, 2028
Laboratory DirectorMarc Davidson MD
Laboratory Phone(503) 284-4147
Laboratory LocationColumbia River Surgery Center LLC9820 NE Cascades Pkwy, Portland, OR 97220
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 5

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.

Imaging guidance for procedure, 60 minutes or less 76000
Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.
24 services20 patients
Removal of deep implant from bone 20680
This procedure involves the careful extraction of an implant deeply embedded in a bone. A specialist makes a small incision, then utilizes precise instruments to reach and safely remove the implant. The area is then closed and monitored for healing.
22 services19 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
16 services16 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
14 services13 patients
Incision of tendon covering of finger 26055
This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.
12 services11 patients

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 Columbia River Surgery Center LLC's NPI number?

The NPI number for Columbia River Surgery Center LLC is 1780959007. It was assigned to this organization in the NPPES registry on March 20, 2012.

Where is Columbia River Surgery Center LLC located?

Columbia River Surgery Center LLC is located at 9820 NE Cascades Pkwy, Portland, OR 97220. The listed phone number is (541) 991-1006.

What is Columbia River Surgery Center LLC's specialty?

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

Does Columbia River Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2040075) is associated with this NPI, valid through April 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Columbia River Surgery Center LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Columbia River 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 Columbia River Surgery Center LLC was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.