WILLAMETTE SURGICAL CLINIC, P.C.
NPI 1881675973
Specialist in Tualatin, OR

Active since November 07, 2005
19875 SW 65TH AVE, SUITE 260, TUALATIN, OR 97062(503) 691-1743(503) 691-0983 Get Directions Write a Review

NPPES record last updated: February 12, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Willamette Surgical Clinic, P.c. NPPES

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

WILLAMETTE SURGICAL CLINIC, P.C. (NPI 1881675973) is a healthcare organization registered as a specialist in Tualatin, Oregon and active in the NPI registry since November 2005. The organization lists Patrick G Mcbee, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1881675973
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameWILLAMETTE GENERAL & VASCULAR SURGERY, P.C.
Location Address19875 SW 65TH AVE, SUITE 260Tualatin, OR 97062-8353
Mailing Address19875 Sw 65th Ave, Suite 260Tualatin, OR 97062-8353 · (503) 691-1743 · Fax (503) 691-0983
Fax(503) 691-0983
Organization SubpartNo
Authorized OfficialPatrick G McbeeOwner/physician · (503) 691-1743
Enumeration DateNovember 7, 2005
Last NPPES UpdateFebruary 12, 2008
✔ NPI 1881675973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OR · MD19661
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
19875 SW 65TH AVE, Tualatin, OR 97062

Other Names 1

Doing Business AsWillamette Surgical Clinic, P.c.

Other Identifiers 6

Medicaid077313OR
Medicare PINR104740OR
Medicare UPING19591OR
Other1356474910OR · Sole Provider Npi
Other5665089OR · Aetna
Other1344830OR · United Healthcare Ins

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Willamette Surgical Clinic, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOregonEnrollment IDO20121008000062Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Willamette Surgical Clinic, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

General Surgery
NPI 1356474910
19875 SW 65TH AVE SUITE 260
Tualatin, OR 97062
(503) 691-1743
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Willamette General & Vascular Surgery, P.C.'s NPI number?

The NPI number for Willamette General & Vascular Surgery, P.C. is 1881675973. It was assigned to this organization in the NPPES registry on November 7, 2005. The provider is doing business as Willamette Surgical Clinic, P.C..

Where is Willamette General & Vascular Surgery, P.C. located?

Willamette General & Vascular Surgery, P.C. is located at 19875 SW 65th Ave Suite 260, Tualatin, OR 97062. The listed phone number is (503) 691-1743.

What is Willamette General & Vascular Surgery, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Willamette General & Vascular Surgery, P.C. enrolled in Medicare?

Yes. Willamette General & Vascular Surgery, P.C. is registered in the Medicare PECOS enrollment system.

When is Willamette General & Vascular Surgery, P.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oregon, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Willamette General & Vascular Surgery, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Willamette General & Vascular Surgery, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Willamette General & Vascular Surgery, P.C. accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Willamette General & Vascular Surgery, P.C. 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 Willamette General & Vascular Surgery, P.C. was last updated on February 12, 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.