THE PORTLAND CLINIC SURGICAL CENTER – NPI #1427144336
Clinic/Center

THE PORTLAND CLINIC SURGICAL CENTER is an AHC clinic located in PORTLAND, OR. NPPES has assigned the NPI number 1427144336 to THE PORTLAND CLINIC SURGICAL CENTER on October 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “THE PORTLAND CLINIC SURGICAL CENTER” is a dba name, the actual legal business name for this organization is PORTLAND CLINIC. 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 6 years ago on Oct 26, 2020. 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 THE PORTLAND CLINIC SURGICAL CENTER below.

NPI Profile for
PORTLAND CLINIC

NPI Number
1427144336
Enumeration Date

(more than 19 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
PORTLAND CLINIC
Doing Business As (dba): THE PORTLAND CLINIC SURGICAL CENTER
Primary location
800 SW 13TH AVE
PORTLAND, OR 97205
Phone: (503) 221-0161 Fax: (503) 221-4451
Mailing address
Same as primary location
Organization Subpart
Yes - THE PORTLAND CLINIC SURGICAL CENTER is subpart of another organization.
Authorized Official
DICK CLARK
CEO
Phone: (503) 221-0161
Updated
Certification Date
Oct 26, 2020

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.