NORTHWEST SURGICAL SPECIALISTS PC (NPI# 1801318381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801318381 |
| Entity Type | Organization |
| Organization Name | NORTHWEST SURGICAL SPECIALISTS PC |
| Other Organization Name | REBOUND ORTHOPEDIC AND SPORTS MEDICINE |
| Practice Address |
1 N Center Court St Ste 110 Portland OR 97227-2104 |
| Mailing Address |
200 Ne Mother Joseph Pl Ste 210 Vancouver WA 98664-3295 |
| Practice Telephone | 3602546161 |
| Mailing Telephone | 3602546161 |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2017-07-17 |
| Authorized Official Name | JAY L CRARY (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 3602546161 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHWEST SURGICAL SPECIALISTS PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Rebound Orthopedic and Sports Medicine | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023530508 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 200 Ne Mother Joseph Pl Ste 305, Vancouver, WA 98664-3296 | 2017-07-17 |
| 1710409347 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 1040 Nw 22nd Ave Ste 610, Portland, OR 97210-3066 | 2017-07-14 |
| 1306368915 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 2121 Ne 139th St Ste 300, Vancouver, WA 98686-2316 | 2017-07-14 |
| 1093237612 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 3101 Se 192nd Ave Ste 103, Vancouver, WA 98683-1443 | 2017-07-14 |
| 1548782022 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 601 Se 117th Ave Ste 210, Vancouver, WA 98683-5297 | 2017-07-17 |
| 1821510306 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 2121 Ne 139th St Ste 325, Vancouver, WA 98686-2319 | 2017-07-17 |
| 1801318415 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 200 Ne Mother Joseph Pl Ste 300, Vancouver, WA 98664-3296 | 2017-07-14 |
| 1609398239 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 4811 Meadows Rd Ste 101, Lake Oswego, OR 97035-2542 | 2017-07-14 |
| 1851568422 | Northwest Surgical Specialists PC | Podiatrist | 3100 W Higgins Rd Ste 150, Hoffman Estates, IL 60169-7256 | 2008-05-13 |
| 1801073762 | Northwest Surgical Specialists PC | Durable Medical Equipment & Medical Supplies | 200 Ne Mother Joseph Pl Ste 110, Vancouver, WA 98664-3293 | 2008-01-23 |
| Street Address |
1 N CENTER COURT ST STE 110 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730118803 | Northwest Surgical Specialists, P.C. | Neurological Surgery | 1 N Center Court St Ste 110, Portland, OR 97227-2104 | 2006-07-01 |
| 1255427662 | Douglas P Rosario | Physical Therapist | 1 N Center Court St Ste 110, Portland, OR 97227-2104 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730794181 | Wound Pros Oregon | Durable Medical Equipment & Medical Supplies | 10260 Sw Greenburg Road 4th Floor, Portland, OR 97223-5500 | 2020-09-12 |
| 1881209385 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12555 Nw Cornell Rd, Portland, OR 97229-5683 | 2020-09-11 |
| 1184260325 | Pacific O&p LLC | Durable Medical Equipment & Medical Supplies | 1050 Sw 6th Ave Ste 1100, Portland, OR 97204-1153 | 2019-11-22 |
| 1508417247 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 165 Lancaster St Ste P, Portland, ME 04101-2406 | 2019-09-24 |
| 1386294379 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8145 Se 17th Ave, Portland, OR 97202-6718 | 2019-09-12 |
| 1346899721 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 345 Sw Harrison St, Portland, OR 97201-5364 | 2019-09-09 |
| 1841753050 | Regional Home Care Inc. | Durable Medical Equipment & Medical Supplies | 190 Riverside St Unit 2b, Portland, ME 04103-1073 | 2019-04-14 |
| 1154889137 | Julie Marie Conaway | Durable Medical Equipment & Medical Supplies | 1302 Wildcat Dr, Portland, TX 78374-2812 | 2019-03-08 |
| 1225503188 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3036 Ne Martin Luther King Jr Blvd Ste 136, Portland, OR 97212-3053 | 2018-10-08 |
| 1588140321 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3031 Se Powell Blvd, Portland, OR 97202-1955 | 2018-07-16 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.