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

Wilshire Surgery Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1417278011

Wilshire Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in Portland, Oregon. Registered with an NPI since 2010.

In the registry since
2010
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

9775 SW Wilshire St Ste 250
Portland, OR 97225-5020
Phone: (503) 688-5187
Fax: (503) 688-5199
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

Record details

NPI number1417278011
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Fatheree — Revenue /Credentialing Specialist · (503) 688-5187
NPI enumeratedJune 17, 2010
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022
Mailing address9775 Sw Wilshire St, Suite 250, Portland, OR 97225-5020

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