PORTLAND CLINIC NPI 1427144336

NPI Information

PORTLAND CLINIC is an ambulatory surgical clinic center in Portland, OR. PORTLAND CLINIC NPI is 1427144336. The provider is registered as an organization entity type.
The provider Is Doing Business As The Portland Clinic Surgical Center.

The provider's business location address is:

800 SW 13TH AVE
PORTLAND, OR
ZIP 97205
Phone: (503) 221-0161
Fax: (503) 221-4451

The provider's authorized official is Dick Clark .
The authorized official title is Ceo and has the following contact phone number (503) 221-0161.

The CLIA number assigned to this NPI record is 38D0621668 - ancillary testing site in health care center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 10/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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