Portland Clinic

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PORTLAND CLINIC

Doing business as

The Portland Clinic Surgical Center

Practice address

800 SW 13TH Ave
Portland, OR 97205

Phone

(503) 221-0161

Fax

(503) 221-4451

NPI assigned

Oct 5, 2006

Last updated

Oct 26, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

PORTLAND CLINICAs reported in NPPES

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

Authorized official

Name

Mr. Dick Clark

Title

Ceo

Phone

(503) 221-0161

Specialties & licenses 1

Addresses

Other names 1

• The Portland Clinic Surgical Center Doing business as

Part of

John a Blosser

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.

• Portland Clinic

  • Internal Medicine Physician
  • Portland, OR
  • NPI 1558379099
  NPPES parent name

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1427144336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SW 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97205",
            "telephone_number": "503-221-0161",
            "fax_number": "503-274-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SW 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97205",
            "telephone_number": "503-221-0161",
            "fax_number": "503-221-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PORTLAND CLINIC",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-221-0161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Portland Clinic Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Portland Clinic Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Portland Center for Reproductive Medicine
• Portland Children's Dentistry, LLC
• Portland Chiropractic Clinic, Inc.
• Portland Chiropractic Group Inc (Portland Chiropractic Group)
• Portland Chiropractors PC (Portland Chiropractors)
• Portland Clinic
• Portland Community Counseling LLC
• Portland Compassionate Care Consulting
• Portland Compounding Pharmacy LLC (Lloyd Center Pharmacy)
• Portland Dart Schools

• 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 Oct 26, 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.