NPIMap

Organization Active NPI

Oregon Outpatient Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Tigard, OR
National Provider Identifier
1124026745
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
393476 Issued in OR
Legal business name
OREGON OUTPATIENT SURGERY CENTER LLC
Practice address
7300 SW Childs Rd
Suite a
Tigard, OR 97224-7713
Phone
(503) 612-8452
Fax
(503) 207-5368
NPI assigned
Jul 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Gale V Stovern
Title
Business Manager
Phone
(503) 612-8452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 393476 OR Primary

Addresses

Primary practice location

7300 SW Childs Rd
Suite a
Tigard, OR 97224-7713

Mailing address

7300 SW Childs Rd
Suite a
Tigard, OR 97224-7713
Phone (503) 612-8452

National Provider Directory

National Provider Directory
Tax ID family
Oregon Outpatient Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124026745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 SW CHILDS RD",
            "address_2": "SUITE A",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247713",
            "telephone_number": "503-612-8452",
            "fax_number": "503-207-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 SW CHILDS RD",
            "address_2": "SUITE A",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247713",
            "telephone_number": "503-612-8452",
            "fax_number": "503-207-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON OUTPATIENT SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOVERN",
        "authorized_official_first_name": "GALE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "503-612-8452",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OR",
            "license": "393476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.