Portland Clinic
NPI 1508040486 · Ambulatory Surgical Clinic/Center · Tigard, OR
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Portland Clinic is a Ambulatory Surgical Clinic/Center organization in Tigard, OR (NPI 1508040486).
Provider details
- NPI number
- 1508040486
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Portland Clinic
- Organization subpart
- Yes
- Authorized official
- Dick Clark, Chief Executive Officer(503) 221-0161
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
312 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 134 | $545 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 78 | $637 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 29 | $522 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 28 | $358 |
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 27 | $1,212 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Roger E. Alberty, M.D. Surgical Center
- Doing business as
- Roger E. Alberty, M.D. Surgical Center
Registry dates
- Enumerated
- 2007-12-27
- Last updated
- 2020-10-26
- Certified
- 2020-10-26
Frequently asked questions
- What is Portland Clinic's NPI number?
- Portland Clinic's National Provider Identifier (NPI) is 1508040486, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Portland Clinic?
- Portland Clinic is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Portland Clinic located?
- Portland Clinic's practice location on file with NPPES is 9100 Sw Oleson Road, Tigard, OR 97223.
- What is Portland Clinic's phone number?
- The practice phone number listed in the NPPES registry for Portland Clinic is (503) 445-9066.
- Does Portland Clinic accept Medicare?
- Portland Clinic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Portland Clinic?
- The authorized official listed on Portland Clinic's NPPES record is Dick Clark, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Portland Clinic's NPI active?
- Yes — Portland Clinic's NPI (1508040486) is active in the NPPES registry as of the last update on 2020-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.