WILSHIRE SURGERY CENTER, LLC – NPI #1417278011
Clinic/Center

WILSHIRE SURGERY CENTER, LLC is an AHC clinic located in PORTLAND, OR. NPPES has assigned the NPI number 1417278011 to WILSHIRE SURGERY CENTER, LLC on June 17, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 4 years ago on Oct 18, 2022. 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 WILSHIRE SURGERY CENTER, LLC below.

NPI Profile for
WILSHIRE SURGERY CENTER, LLC

NPI Number
1417278011
Enumeration Date

(about 16 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
WILSHIRE SURGERY CENTER, LLC
Primary location
9775 SW WILSHIRE ST
SUITE 250
PORTLAND, OR 97225-5020
Phone: (503) 688-5187 Fax: (503) 688-5199
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEPHANIE FATHEREE
REVENUE /CREDENTIALING SPECIALIST
Phone: (503) 688-5187
Updated
Certification Date
Oct 18, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.