EAST PAVILION SURGERY CENTER – NPI #1316449168
Clinic/Center

EAST PAVILION SURGERY CENTER is an AHC clinic located in PORTLAND, OR. NPPES has assigned the NPI number 1316449168 to EAST PAVILION SURGERY CENTER on March 07, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EAST PAVILION SURGERY CENTER” is a dba name, the actual legal business name for this organization is SURGERY CENTER AT ST. VINCENT, LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 7 years ago on Jul 16, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAST PAVILION SURGERY CENTER below.

NPI Profile for
SURGERY CENTER AT ST. VINCENT, LLC

NPI Number
1316449168
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SURGERY CENTER AT ST. VINCENT, LLC
Doing Business As (dba): EAST PAVILION SURGERY CENTER
Primary location
9135 SW BARNES RD STE 161
PORTLAND, OR 97225
Phone: (971) 339-7791 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRUCE DUDLEY
CHIEF ADMINISTRATIVE OFFICER
Phone: (971) 339-7791
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.