OrganizationActive
Ambulatory Surgical Center
NPI 1710992680 · Ambulatory Surgical Clinic/Center · Portland, OR
Provider details
- NPI number
- 1710992680
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ronald Demars, Administrator(503) 253-3458
- License
- 071438 (OR)
Specialties & taxonomies
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
19 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
10201 Se Main St Ste 20
Portland, OR 97216-2937
Phone: (503) 253-3458
Fax: (503) 253-0856
Street-level locationGet directions
Mailing address
10201 Se Main St Ste 20
Portland, OR 97216-2937
Other names (DBA / former)
- Doing business as
- Aesthetic Breast and Cosmetic Surgery Center
Registry dates
- Enumerated
- 2006-07-29
- Last updated
- 2008-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.