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

Northwest Spine Surgery LLC

Organization Family Medicine Physician · NPI 1841040292

Northwest Spine Surgery LLC is a Family Medicine Physician in Portland, Oregon. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
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

10 000 SE Main St St 360
Portland, OR 97216
Phone: (503) 253-4000
Fax: (503) 253-4002
Show map & directions

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

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X
Family Medicine Physician Taxonomy 207Q00000X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1841040292
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emerald Nelson Flores — Clinic Administrator · (971) 277-0559
NPI enumeratedMarch 26, 2024
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024
Mailing address10000 Se Main St Ste 360, Portland, OR 97216-2474

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