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SOUTH PORTLAND SURGICAL CENTER
NPI 1841507266
Clinic/Center - Ambulatory Surgical in Tualatin, OR

Active since September 07, 2010CLIA 38D2013810 · Waiver
6370 SW BORLAND RD, SUITE 100, TUALATIN, OR 97062(503) 218-1105 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 30, 2022, Dec 15, 2015, Dec 9, 2015 (3 updates tracked since 2015).

About South Portland Surgical Center NPPES

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

SOUTH PORTLAND SURGICAL CENTER (NPI 1841507266) is a healthcare organization registered as an ambulatory surgical in Tualatin, Oregon and active in the NPI registry since September 2010. The organization holds a CLIA Waiver certificate valid through September 23, 2026 and lists Jeffrey Snodgrass, President, as its authorized official.

NPPES Registry Identity

NPI1841507266
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSOUTH PORTLAND SURGICAL CENTER LLC
Location Address6370 SW BORLAND RD, SUITE 100Tualatin, OR 97062-9754
Mailing Address1a Burton Hills Blvd, Attn: L&cNashville, TN 37215-6187 · (615) 240-3820 · Fax (615) 234-1720
Phone(503) 218-1105
Organization SubpartNo
Authorized OfficialJeffrey SnodgrassPresident · (615) 665-1283
Enumeration DateSeptember 7, 2010
Last NPPES UpdateAugust 30, 20223 updates tracked since enumeration
NPPES CertifiedAugust 30, 2022
✔ NPI 1841507266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
6370 SW BORLAND RD, Tualatin, OR 97062
Open in Google Maps ↗

Other Names 1

Doing Business AsSouth Portland Surgical Center

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 38D2013810

South Portland Surgical Center, LLC · Tualatin, OR
Active · expires Sep 23, 2026
CLIA Number38D2013810
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateSeptember 23, 2026
Laboratory DirectorJames Craven
Laboratory Phone(503) 218-1105
Laboratory LocationSouth Portland Surgical Center, LLC6370 SW Borland Road, Suite 100, Tualatin, OR 97062
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

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, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
8,634 services35 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.
62 services47 patients
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.
44 services23 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.
41 services36 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.
30 services15 patients
Repair of shoulder rotator cuff using an endoscope 29827
This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.
26 services26 patients

Other Providers at the Same Location NPPES 2

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

MS. KELEIGH MARIE NERSASIAN PA-C
Physician Assistant (Surgical)
6370 SW BORLAND RD, SUITE 200
TUALATIN, OR 97062
Washington County (503) 691-1122
DK PATHOLOGY
Clinical Medical Laboratory
6370 SW BORLAND RD, SUITE 206
TUALATIN, OR 97062
Washington County (503) 691-1122

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 South Portland Surgical Center LLC's NPI number?

The NPI number for South Portland Surgical Center LLC is 1841507266. It was assigned to this organization in the NPPES registry on September 7, 2010. The provider is doing business as South Portland Surgical Center.

Where is South Portland Surgical Center LLC located?

South Portland Surgical Center LLC is located at 6370 SW Borland Rd Suite 100, Tualatin, OR 97062. The listed phone number is (503) 218-1105.

What is South Portland Surgical Center LLC's specialty?

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

Does South Portland Surgical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2013810) is associated with this NPI, valid through September 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Portland Surgical 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 South Portland Surgical 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 South Portland Surgical Center LLC was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.