EAST PORTLAND SURGICAL CENTER LLC
NPI 1467484956
Clinic/Center - Ambulatory Surgical in Portland, OR
NPI Status: Active since July 07, 2006
Contact Information
9200 SE 91ST AVE
SUITE 100
PORTLAND, OR
ZIP 97266
Phone: (503) 772-6160
Fax: (503) 772-6161
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 38D1008462
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 01-20-2027
About EAST PORTLAND SURGICAL CENTER LLC
This page provides the complete NPI Profile along with additional information for East Portland Surgical Center Llc, a provider established in Portland, Oregon operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1467484956 assigned on July 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 071572 (OR). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mrs. Alvera M Gaskins (Administrator)
- NPI
- 1467484956
- Provider Name
- EAST PORTLAND SURGICAL CENTER LLC
- Entity Type
- Organization
- Location Address
- 9200 SE 91ST AVE SUITE 100 PORTLAND, OR 97266
- Location Phone
- (503) 772-6160
- Location Fax
- (503) 772-6161
- Mailing Address
- 9200 SE 91ST AVE SUITE 100 PORTLAND, OR 97266
- Mailing Phone
- (503) 772-6160
- Mailing Fax
- (503) 772-6161
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-07-2006
- Last Update Date
- 07-11-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- 071572
- License State
- OR
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D1008462
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- January 21, 2025
- Certificate Expiration Date
- January 20, 2027
- Laboratory Director
- JOHN DOMREIS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to East Portland Surgical Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 6 | 7 | 4 | 8 | 4 | 9 | 5 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 12 | 7 | 8 | 8 | 8 | 9 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 2 + 7 + 8 + 8 + 8 + 9 + 1 + 0 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1467484956 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1952333940 | TYRONE WEI DC Individual | Radiology (Diagnostic Radiology) | 9200 SE 91ST AVE #330 PORTLAND, OR 97266 (503) 774-7700 |
| 1952459190 | DR. A P AVERSANO D.O. Individual | Psychiatry & Neurology (Neurology) | 9200 SE 91ST AVE PORTLAND, OR 97266 (509) 837-4366 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467484956, enumerated in the NPI registry as an "organization" on July 07, 2006
The provider is located at 9200 Se 91st Ave Suite 100 Portland, Or 97266 and the phone number is (503) 772-6160
This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical
The provider's CLIA number is 38D1008462 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on July 07, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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