OrganizationActive
Surgical Specialty Group PC
NPI 1902978984 · Medical Specialty Clinic/Center · Portland, OR
Provider details
- NPI number
- 1902978984
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Olga Veis, Clinic Manager(503) 222-1615
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 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
511 Sw 10th Avenue
Suite 714
Portland, OR 97205-2708
Phone: (503) 222-1615
Fax: (503) 222-0016
Street-level locationGet directions
Mailing address
511 Sw 10th Avenue
Portland, OR 97205-2708
Other names (DBA / former)
- Doing business as
- The Colon & Rectal Clinic
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 2013-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.