NPIMap

Organization Active NPI

Lovejoy Surgicenter Inc

  • Ambulatory Family Planning Facility
  • Portland, OR
National Provider Identifier
1679902720
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
License
07-0978 Issued in OR
Legal business name
LOVEJOY SURGICENTER INC
Practice address
933 NW 25TH Ave
Portland, OR 97210-2829
Phone
(503) 221-1870
Fax
(503) 221-1488
NPI assigned
Nov 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Authorized official

Name
Greg Klass
Title
Cfo
Phone
(971) 340-2995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X 07-0978 OR Primary

Addresses

Primary practice location

933 NW 25TH Ave
Portland, OR 97210-2829

Mailing address

933 NW 25TH Ave
Portland, OR 97210-2829
Phone (503) 221-1870

Other identifiers 1

IdentifierTypeStateIssuer
187153MedicaidOR

National Provider Directory

National Provider Directory
Tax ID family
Lovejoy Surgicenter Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1679902720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 NW 25TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102829",
            "telephone_number": "503-221-1870",
            "fax_number": "503-221-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 NW 25TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102829",
            "telephone_number": "503-221-1870",
            "fax_number": "503-221-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVEJOY SURGICENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "KLASS",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "971-340-2995"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "OR",
            "license": "07-0978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187153",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

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