Acg Group

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ACG GROUP

Practice address

511 SW 10TH Ave Ste 904
Portland, OR 97205-2710

Phone

(503) 221-1870

Fax

(503) 389-7945

NPI assigned

Feb 24, 2021

Organization subpart

No

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

Authorized official

Name

Nadya Volkoff

Title

Manager

Phone

(503) 884-0842

Specialties & licenses 1

Addresses

Other names 1

• Lilith Clinic Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Gabriel L Aron, CRNA

  • Certified Registered Nurse Anesthetist
  • Portland, OR
  • NPI 1699746305
  NPD
• Gwen Welch, LICSW

  • Clinical Social Worker
  • Oregon City, OR
  • NPI 1164566212
  NPD
• Charlie Browne, M.D.

  • Specialist
  • Seattle, WA
  • NPI 1780676122
  NPD

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1760076392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE STE 904",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052710",
            "telephone_number": "503-221-1870",
            "fax_number": "503-389-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE STE 904",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052710",
            "telephone_number": "503-221-1870",
            "fax_number": "503-389-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACG GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "VOLKOFF",
        "authorized_official_first_name": "NADYA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-884-0842"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lilith Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• According to His Word Outreach
• Accountable Healthcare Staffing
• Accurate Injury Care & Wellness LLC
• Josefina Wendy Acevedo-Giles
• Lowhren Kathleen Aceves
• Dane Achalas
• Darshan Acharya, M.D.
• Miranda Tai Campbell Acharya, LCSW
• Emelia Ama Acheampong, LCSW
• Anupama Kurup Acheson, MD

• Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.