Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ambulatory Surgical Center

Organization Ambulatory Surgical Clinic/Center · NPI 1710992680

Ambulatory Surgical Center is an Ambulatory Surgical Clinic/Center in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006

Practice location Address checks out

10201 SE Main St Ste 20
Portland, OR 97216-2937
Phone: (503) 253-3458
Fax: (503) 253-0856
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 071438 (OR)

Record details

NPI number1710992680
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Demars — Administrator · (503) 253-3458
Other names Aesthetic Breast And Cosmetic Surgery Center
NPI enumeratedJuly 29, 2006
Last updated in NPPESJune 13, 2008
Mailing address10201 Se Main St Ste 20, Portland, OR 97216-2937

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