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PPSG ACQUISITION ENTITY, LLC
NPI 1962158592
Clinic/Center in Portland, OR

Active since February 22, 2022CLIA 38D2149897 · Waiver
1200 NW NAITO PKWY STE 320, PORTLAND, OR 97209(503) 208-3404 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 30, 2025, Feb 22, 2022 (2 updates tracked since 2022).

About Ppsg Acquisition Entity, Llc NPPES

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

PPSG ACQUISITION ENTITY, LLC (NPI 1962158592) is a healthcare organization registered as a clinic/center in Portland, Oregon and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through June 11, 2028 and lists Cary Schreiner, Clinical Administrator, as its authorized official.

NPPES Registry Identity

NPI1962158592
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePPSG ACQUISITION ENTITY, LLC
Location Address1200 NW NAITO PKWY STE 320Portland, OR 97209-2829
Mailing Address1200 Nw Naito Pkwy Ste 320Portland, OR 97209-2829 · (503) 208-3404
Phone(503) 208-3404
Organization SubpartNo
Authorized OfficialCary SchreinerClinical Administrator · (503) 208-3404
Enumeration DateFebruary 22, 2022
Last NPPES UpdateDecember 30, 20252 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
✔ NPI 1962158592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1200 NW NAITO PKWY STE 320, Portland, OR 97209
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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 38D2149897

Ppsg Acquisition Entity · Portland, OR
Active · expires Jun 11, 2028
CLIA Number38D2149897
Laboratory TypeOffice Based Surgery Cntr
Certificate Effective DateJune 12, 2026
Certificate Expiration DateJune 11, 2028
Laboratory DirectorAustin Hayes
Laboratory Phone(503) 292-9200
Laboratory LocationPpsg Acquisition Entity1200 NW Naito Pkwy, Suite 320, Portland, OR 97209
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

BRIDGEVIEW SURGERY CENTER LLC
Surgery
1200 NW NAITO PKWY STE 320
PORTLAND, OR 97209
Multnomah County (503) 208-3404

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 Ppsg Acquisition Entity, LLC's NPI number?

The NPI number for Ppsg Acquisition Entity, LLC is 1962158592. It was assigned to this organization in the NPPES registry on February 22, 2022.

Where is Ppsg Acquisition Entity, LLC located?

Ppsg Acquisition Entity, LLC is located at 1200 NW Naito Pkwy Ste 320, Portland, OR 97209. The listed phone number is (503) 208-3404.

What is Ppsg Acquisition Entity, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Ppsg Acquisition Entity, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2149897) is associated with this NPI, valid through June 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ppsg Acquisition Entity, LLC was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.