Active NPI
PPSG Acquisition Entity, LLC
- Clinic/Center
- Portland, OR
National Provider Identifier
1962158592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- PPSG ACQUISITION ENTITY, LLC
- Practice address
- 1200 NW Naito Pkwy Ste 320
Portland, OR 97209-2829 - Phone
- (503) 208-3404
- NPI assigned
- Feb 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cary Schreiner, RN
- Title
- Clinical Administrator
- Phone
- (503) 208-3404
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1200 NW Naito Pkwy Ste 320
Portland, OR 97209-2829
Mailing address
1200 NW Naito Pkwy Ste 320
Portland, OR 97209-2829
Phone (503) 208-3404
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2149897 | PPSG Acquisition Entity | Certificate of waiver | Jun 11, 2028 |
National Provider Directory
National Provider DirectoryLocations
1200 NW Naito Pkwy
Ste 320
Portland, OR 97209
Phone (503) 208-3404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767052800000",
"number": "1962158592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 NW NAITO PKWY STE 320",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972092829",
"telephone_number": "503-208-3404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 NW NAITO PKWY STE 320",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972092829",
"telephone_number": "503-208-3404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PPSG ACQUISITION ENTITY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-22",
"last_updated": "2025-12-30",
"certification_date": "2025-12-30",
"status": "A",
"authorized_official_last_name": "SCHREINER",
"authorized_official_first_name": "CARY",
"authorized_official_title_or_position": "CLINICAL ADMINISTRATOR",
"authorized_official_telephone_number": "503-208-3404",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Dec 30, 2025; 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.