OrganizationActive
Gresham Station Surgery Center LLC
NPI 1235195447 · Ambulatory Surgical Clinic/Center · Gresham, OR
Provider details
- NPI number
- 1235195447
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Skinner, Administrator(503) 907-1907
- License
- 394819 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
831 Nw Council Drive
Suite 212
Gresham, OR 97030
Phone: (503) 907-1907
Fax: (503) 489-2073
Street-level locationGet directions
Mailing address
831 Nw Council Drive
Gresham, OR 97030
Registry dates
- Enumerated
- 2006-04-25
- Last updated
- 2010-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.