East Portland Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

071572 Issued in OR

Legal business name

EAST PORTLAND SURGICAL CENTER LLC

Practice address

9200 SE 91St Ave
Suite 100
Portland, OR 97266-6756

Phone

(503) 772-6160

Fax

(503) 772-6161

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Alvera M Gaskins

Title

Administrator

Phone

(503) 772-6160

Specialties & licenses 1

Addresses

Practitioners 1

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

• Suzanne S Cleland Zamudio, MD

  • Otolaryngology Physician
  • Sunnyside, WA
  • NPI 1609883768
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1467484956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 SE 91ST AVE",
            "address_2": "SUITE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972666756",
            "telephone_number": "503-772-6160",
            "fax_number": "503-772-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 SE 91ST AVE",
            "address_2": "SUITE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972666756",
            "telephone_number": "503-772-6160",
            "fax_number": "503-772-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST PORTLAND SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "ALVERA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-772-6160",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OR",
            "license": "071572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Portland Medical Associates LLC
• East Portland Neurology Clinic PC
• East Portland Optical Service
• East Portland Pediatric Clinic, P.C.
• East Portland Peritoneal Dialysis Clinic, LLC
• East Side Orthotics & Prosthetics, Inc.
• Adrienne East, LCSW
• Stephanie Ann East, MSW
• Lynn Ellis Eastes, ACNP
• Anne Margaret Eastman, 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 Jul 11, 2007; 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.