Lovejoy Surgicenter Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

07 0978 Issued in OR

Legal business name

LOVEJOY SURGICENTER INC.

Doing business as

Lovejoy Surgicenter

Practice address

933 NW 25TH Ave
Portland, OR 97210-2829

Phone

(203) 221-1870

Fax

(503) 221-1488

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Kayla Reich

Title

Administrator

Phone

(503) 221-1870

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lovejoy Surgicenter Doing business as

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245336411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 NW 25TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102829",
            "telephone_number": "203-221-1870",
            "fax_number": "503-221-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 NW 25TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102829",
            "telephone_number": "203-221-1870",
            "fax_number": "503-221-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVEJOY SURGICENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REICH",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-221-1870"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OR",
            "license": "07 0978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7026826",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187153",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lovejoy Surgicenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy Love Jr., BSN
• Sandra Elaine Lovegrove
• Lovejoy Opticians Inc.
• Lovejoy Surgicenter Inc
• Lovejoy Surgicenter Inc
• Lovejoy Therapy LLC
• Earl Lovejoy, MS. CCC/SLP
• Gary Harold Lovejoy, PH.D.
• Jason G Lovejoy
• Travis Ian Lovejoy, PH.D.

• Ambulatory Surgical Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Ambulatory Surgical Clinic/Center in Oregon

• 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.