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

Northwest Ambulatory Surgery Center LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1245482280

Northwest Ambulatory Surgery Center LLC is an Ambulatory Surgical Clinic/Center in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2008.

Licensed in
OR
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1515 NW 18th Ave Ste 200
Portland, OR 97209-2516
Phone: (503) 542-4888
Fax: (503) 542-2813
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 07 1564 (OR)

Record details

NPI number1245482280
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Boon — Officer/Authorized Official · (480) 567-0269
Other names Northwest Ambulatory Surgery Center; Northwest Ambulatory Surgery Center
NPI enumeratedOctober 22, 2008
Last updated in NPPESOctober 14, 2024
Certification dateOctober 14, 2024
Mailing address14201 Dallas Pkwy, Dallas, TX 75254-2916

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