Active NPI
West End Surgical, LLC
- Ambulatory Surgical Clinic/Center
- Beaverton, OR
National Provider Identifier
1962920751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 07-1649
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Institute
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 38D2142113 | West End Surgical Dba | Certificate of waiver | Jan 2, 2028 |
National Provider Directory
National Provider DirectoryNPI 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.