WESTSIDE SURGERY CENTER LLC NPI 1811978356

NPI Information

  • NPI: 1811978356
  • Provider Name: WESTSIDE SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 38D1073258
  • Address: 13240 SW PACIFIC HWY
    SUITE 200
    TIGARD, OR
    ZIP 97223
  • Phone: (503) 639-6571

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NPI Details

WESTSIDE SURGERY CENTER, LLC is an ambulatory surgical clinic center in Tigard, OR. WESTSIDE SURGERY CENTER, LLC NPI is 1811978356. The provider is registered as an organization entity type.

The provider's business location address is:

13240 SW PACIFIC HWY
SUITE 200
TIGARD, OR
ZIP 97223-828
Phone: (503) 639-6571
Fax: (503) 624-6037

The provider's authorized official is Brett Williams .
The authorized official title is Ceo and has the following contact phone number (503) 558-7372.

The CLIA number assigned to this NPI record is 38D1073258 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Laser repair to improve eye fluid flow (HCPCS:65855)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Creation of eye fluid drainage tracts in iris using a laser, per session (HCPCS:66761)

The enumeration date for this NPI number is 11/10/2005 and was last updated on 2/22/2024.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS0132XClinic/CenterOphthalmologic Surgery07-1548OREGONNo
2261QA1903XClinic/CenterAmbulatory Surgical07-1548OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1275090MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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