AESTHETIC BREAST AND COSMETIC SURGERY CENTER – NPI #1710992680
Clinic/Center

AESTHETIC BREAST AND COSMETIC SURGERY CENTER is an AHC clinic located in PORTLAND, OR. NPPES has assigned the NPI number 1710992680 to AESTHETIC BREAST AND COSMETIC SURGERY CENTER on July 29, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AESTHETIC BREAST AND COSMETIC SURGERY CENTER” is a dba name, the actual legal business name for this organization is AMBULATORY SURGICAL CENTER. 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 18 years ago on Jun 13, 2008. 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 AESTHETIC BREAST AND COSMETIC SURGERY CENTER below.

NPI Profile for
AMBULATORY SURGICAL CENTER

NPI Number
1710992680
Enumeration Date

(about 20 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
AMBULATORY SURGICAL CENTER
Doing Business As (dba): AESTHETIC BREAST AND COSMETIC SURGERY CENTER
Primary location
10201 SE MAIN ST STE 20
PORTLAND, OR 97216-2937
Phone: (503) 253-3458 Fax: (503) 253-0856
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RONALD DEMARS
ADMINISTRATOR
Phone: (503) 253-3458
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)		 OR 071438

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.