AESTHETIC BREAST AND COSMETIC SURGERY CENTER
NPI 1710992680
Clinic/Center - Ambulatory Surgical in Portland, OR
NPI Status: Active since July 29, 2006
Contact Information
10201 SE MAIN ST STE 20
PORTLAND, OR
ZIP 97216
Phone: (503) 253-3458
Fax: (503) 253-0856
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 38D2084893
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 10-01-2026
About AESTHETIC BREAST AND COSMETIC SURGERY CENTER
This page provides the complete NPI Profile along with additional information for Aesthetic Breast And Cosmetic Surgery Center, 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 1710992680 assigned on July 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 071438 (OR). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Aesthetic Breast And Cosmetic Surgery Center. The authorized official of this NPI record is Dr. Ronald V Demars Md (Administrator)
- NPI
- 1710992680
- Provider Legal Name
- AMBULATORY SURGICAL CENTER
- Other Organization Name
- AESTHETIC BREAST AND COSMETIC SURGERY CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 10201 SE MAIN ST STE 20 PORTLAND, OR 97216
- Location Phone
- (503) 253-3458
- Location Fax
- (503) 253-0856
- Mailing Address
- 10201 SE MAIN ST STE 20 PORTLAND, OR 97216
- Mailing Phone
- (503) 253-3458
- Mailing Fax
- (503) 253-0856
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-29-2006
- Last Update Date
- 06-13-2008
- 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.
- 071438
- 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
- 38D2084893
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- October 02, 2024
- Certificate Expiration Date
- October 01, 2026
- Laboratory Director
- MICHAEL F BOHLEY MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Aesthetic Breast And Cosmetic Surgery Center 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 | 7 | 1 | 0 | 9 | 9 | 2 | 6 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 18 | 9 | 4 | 6 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 1 + 8 + 9 + 4 + 6 + 1 + 6 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1710992680 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1902814387 | DR. RONALD V DEMARS MD Individual | Plastic Surgery | 10201 SE MAIN ST STE 20 PORTLAND, OR 97216 (503) 253-3458 |
| 1124715032 | GILSON PLASTIC SURGERY LLC Organization | Surgery (Plastic and Reconstructive Surgery) | 10201 SE MAIN ST STE 20 PORTLAND, OR 97216 (503) 897-8999 |
| 1093723470 | DR. MICHAEL F. BOHLEY M.D.,P.C. Individual | Plastic Surgery | 10201 SE MAIN ST STE 20 PORTLAND, OR 97216 (503) 253-3458 |
| 1780844134 | MICHAEL F. BOHLEY, M.D.,P.C. Organization | Plastic Surgery | 10201 SE MAIN ST STE 20 PORTLAND, OR 97216 (503) 253-3458 |
| 1720428386 | AARON GILSON D.O. Individual | Surgery (Plastic and Reconstructive Surgery) | 10201 SE MAIN ST STE 20 PORTLAND, OR 97216 (503) 897-8999 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710992680, enumerated in the NPI registry as an "organization" on July 29, 2006
The provider is located at 10201 Se Main St Ste 20 Portland, Or 97216 and the phone number is (503) 253-3458
This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical
The provider's CLIA number is 38D2084893 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 29, 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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