Organization Active NPI

Mt. Scott Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Clackamas, OR
National Provider Identifier
1487933172
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MT. SCOTT SURGERY CENTER, LLC
Practice address
9300 SE 91St Ave Ste 101
Clackamas, OR 97086-3762
Phone
(503) 407-6615
NPI assigned
Aug 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Authorized official

Name
Joanna Carol Aspengren
Title
Administrator
Phone
(503) 407-6615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X OR Primary

Addresses

Primary practice location

9300 SE 91St Ave Ste 101
Clackamas, OR 97086-3762

Mailing address

9300 SE 91St Ave Ste 101
Clackamas, OR 97086-3762
Phone (503) 407-6615

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1487933172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 SE 91ST AVE STE 101",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970863762",
            "telephone_number": "503-407-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 SE 91ST AVE STE 101",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970863762",
            "telephone_number": "503-407-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. SCOTT SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "ASPENGREN",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-407-6615"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.