NPIMap

Organization Active NPI

Ohsu Outpatient Clinical Services LLC

  • Physiological Laboratory
  • Portland, OR
National Provider Identifier
1194568469
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
OHSU OUTPATIENT CLINICAL SERVICES LLC
Practice address
1800 NE 2ND Ave
Portland, OR 97212-3932
Phone
(503) 346-4949
NPI assigned
Jun 14, 2024
Organization subpart
Yes
Parent organization
OHSU OUTPATIENT CLINICAL SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Sandra Catalan
Title
Senior VP Chief Accounting Officer
Phone
(503) 494-3101

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

1800 NE 2ND Ave
Portland, OR 97212-3932

Mailing address

1400 SW 5TH Ave FL 5
Portland, OR 97201-5509
Phone (503) 494-1414

Other practice location 1

9775 SW Wilshire St Ste 100
Portland, OR 97225-5068
Phone (503) 346-4949

Other names 2

  • OHSU Health Diagnostic Imaging Clinic, Cedar Hills Doing business as
  • OHSU Health Diagnostic Imaging Clinic, NE Portland Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250211000598 OR Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7315300571 Practice locations: Portland, OR
O20250211000814 OR Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7315300571 Practice locations: Portland, OR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2314088Ohsu Health Diagnostic Imaging Clinic NE Portland1800 NE 2ND Ave, Portland, OR 97212Certificate of waiverNov 12, 2026

National Provider Directory

National Provider Directory
Tax ID family
Ohsu Outpatient Clinical Services LLC2 organizations share this tax ID, including this one
Part of
Ohsu Outpatient Clinical Services LLC

Other organizations with this tax ID 1

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

Locations

9775 SW Wilshire St
Ste 100
Portland, OR 97225
Phone (503) 346-4949

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 70

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 70

NPI Registry JSON

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1194568469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SW 5TH AVE FL 5",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015509",
            "telephone_number": "503-494-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NE 2ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123932",
            "telephone_number": "503-346-4949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9775 SW Wilshire St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972255068",
            "country_code": "US",
            "telephone_number": "503-346-4949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OHSU OUTPATIENT CLINICAL SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OHSU OUTPATIENT CLINICAL SERVICES LLC",
        "enumeration_date": "2024-06-14",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "CATALAN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "SENIOR VP CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "503-494-3101"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OHSU Health Diagnostic Imaging Clinic, Cedar Hills",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OHSU Health Diagnostic Imaging Clinic, NE Portland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.