Organization Active NPI

West End Surgical, LLC

  • Ambulatory Surgical Clinic/Center
  • Beaverton, OR
National Provider Identifier
1962920751
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
07-1649 Issued in OR
Legal business name
WEST END SURGICAL, LLC
Practice address
9405 SW Nimbus Ave
Beaverton, OR 97008
Phone
(971) 708-0400
Fax
(503) 214-8164
NPI assigned
Sep 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Riley Orr
Title
Coo
Phone
(615) 314-1406

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X
Ambulatory Surgical Clinic/Center 261QA1903X 07-1649 OR Primary

Addresses

Primary practice location

9405 SW Nimbus Ave
Beaverton, OR 97008

Mailing address

9405 SW Nimbus Ave
Beaverton, OR 97008
Phone (971) 708-0400

Other names 1

  • Oregon Surgical Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171109001646 OR Part B Supplier - Ambulatory Surgical Center 8921364845 Practice locations: Beaverton, OR

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Oregon Surgical InstituteCCN 38C0001110
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2142113West End Surgical Dba9405 SW Nimbus Ave, Beaverton, OR 97008Certificate of waiverJan 2, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1962920751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9405 SW NIMBUS AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97008",
            "telephone_number": "971-708-0400",
            "fax_number": "503-214-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9405 SW NIMBUS AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97008",
            "telephone_number": "971-708-0400",
            "fax_number": "503-214-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST END SURGICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-01",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "ORR",
        "authorized_official_first_name": "RILEY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "615-314-1406"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OR",
            "license": "07-1649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Surgical Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.