Portland Surgical Specialists, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

PORTLAND SURGICAL SPECIALISTS, PC

Practice address

9200 SE 91St Ave
#320
Portland, OR 97086

Phone

(503) 353-3005

Fax

(503) 546-3201

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas R. Eubanks, D.O.

Title

President

Phone

(503) 353-3005

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Chloe Anne Sandquist, M.D.

  • Surgery Physician
  • Portland, OR
  • NPI 1689891210
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1609914605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 SE 91ST AVE",
            "address_2": "#320",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97086",
            "telephone_number": "503-353-3005",
            "fax_number": "503-546-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 SE 91ST AVE",
            "address_2": "#320",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97086",
            "telephone_number": "503-353-3005",
            "fax_number": "503-546-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND SURGICAL SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "EUBANKS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-353-3005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278453",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBS",
            "identifier": "858363000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Portland Spine Center LLC
• Portland Sports Medicine & Spine Physical Therapy Inc.
• Portland State University Center for Student Health and Counseling
• Portland Surgeons, PC
• Portland Surgical Oncology, PC
• Portland Therapy Project LLC
• Portland Therapy Solutions, LLC
• Portland Tissue Processing Laboratory, Inc.
• Portland Traditional Acupuncture
• Portland Trauma and Dissociation Specialists LLC

• Surgery Physician in Portland, OR
• Providers in Portland, OR by specialty
• Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.