NPIMap

Organization Active NPI

Northwest Surgical Specialists, P.C.

Doing business as Rebound Orthopedics & Neurosurgical Specialists

  • Orthopaedic Surgery Physician
  • Portland, OR
National Provider Identifier
1730118803
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
NORTHWEST SURGICAL SPECIALISTS, P.C.
Doing business as
Rebound Orthopedics & Neurosurgical Specialists
Practice address
1 N Center Court St Ste 110
Portland, OR 97227-2104
Phone
(360) 254-6161
Fax
(360) 803-0847
NPI assigned
Jul 1, 2006
Last updated
May 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

Name
Dawn Habkirk
Title
Director of Revenue Cycle Mgmnt
Phone
(360) 449-6349

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

1 N Center Court St Ste 110
Portland, OR 97227-2104

Mailing address

200 NE Mother Joseph PL
Suite 210
Vancouver, WA 98664-3299
Phone (360) 254-6161

Other identifiers 1

IdentifierTypeStateIssuer
7883200MedicaidWA

Other names 1

  • Rebound Orthopedics & Neurosurgical Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040128000538 OR Part B Supplier - Clinic/Group Practice 4183527153 Receives reassigned benefits from 78 practitioners
Practice locations: Portland, OR; Lake Oswego, OR; Beaverton, OR
O20040210001105 WA Part B Supplier - Clinic/Group Practice 4183527153 Receives reassigned benefits from 124 practitioners
Practice locations: Vancouver, WA; Ridgefield, WA; Battle Ground, WA

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

4811 Meadows Rd
Ste 101
Lake Oswego, OR 97035
Phone (503) 635-2323

1 N Center Court St
Ste 11
Portland, OR 97227
Phone (503) 732-6863

200 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2990

200 NE Mother Joseph Pl
#1
Vancouver, WA 98664

200 NE Mother Joseph Pl
Ste 210
Vancouver, WA 98664
Phone (360) 449-1145

200 NE Mother Joseph Pl
Ste 300
Vancouver, WA 98664
Phone (360) 256-4060

2121 NE 139th St
Ste 325
Vancouver, WA 98686
Phone (360) 449-8700

3101 SE 192nd Ave
Ste 103
Vancouver, WA 98683
Phone (360) 666-4480

601 SE 117th Ave
Ste 210
Vancouver, WA 98683
Phone (360) 449-8700

Practitioners & affiliated clinicians

Practitioners 141

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 141

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1730118803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NE MOTHER JOSEPH PL",
            "address_2": "SUITE 210",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986643299",
            "telephone_number": "360-254-6161",
            "fax_number": "564-236-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N CENTER COURT ST STE 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972272104",
            "telephone_number": "360-254-6161",
            "fax_number": "360-803-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST SURGICAL SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "HABKIRK",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE MGMNT",
        "authorized_official_telephone_number": "360-449-6349"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7883200",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebound Orthopedics & Neurosurgical Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.