Nwsa Inc

Primary specialty

Special HospitalTaxonomy code 284300000X

License

103817 Issued in OR

Legal business name

NWSA INC

Practice address

31143 SW Willamette Way W
Wilsonville, OR 97070-8546

Phone

(503) 869-8729

NPI assigned

Jan 29, 2013

Organization subpart

No

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

Authorized official

Name

Debra Ann Deering-Larson, CST/FA

Title

Surgical First Assistant

Phone

(503) 869-8729

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1427396266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31143 SW WILLAMETTE WAY W",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970708546",
            "telephone_number": "503-869-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31143 SW WILLAMETTE WAY W",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970708546",
            "telephone_number": "503-869-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NWSA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "DEERING-LARSON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SURGICAL FIRST ASSISTANT",
        "authorized_official_telephone_number": "503-869-8729",
        "authorized_official_credential": "CST/FA"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "OR",
            "license": "103817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Extremity Specialists LLC (NES Wilsonville)
• Northwest HC Cascadia Village Or Operator NT-Hci LLC (Avamere at Cascadia Village)
• Northwest Spine and Laser Surgery Center LLC
• Michelle Ashley Nunley, PTA
• NW Integrative Primary Care
• Kelly O'Connell
• Taylor L Odom
• Bret Markus Olsen, CADC I
• Jennifer Lindsey Olsen, CADC,
• Jeanine Rae Olson, NP

• Special Hospital in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Special Hospital in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.