OrganizationActive
Ppsg Acquisition Entity, LLC
NPI 1962158592 · Clinic/Center · Portland, OR
Provider details
- NPI number
- 1962158592
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cary Schreiner, Clinical Administrator(503) 208-3404
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1200 Nw Naito Pkwy Ste 320
Portland, OR 97209-2829
Phone: (503) 208-3404
Street-level locationGet directions
Mailing address
1200 Nw Naito Pkwy Ste 320
Portland, OR 97209-2829
Registry dates
- Enumerated
- 2022-02-22
- Last updated
- 2025-12-30
- Certified
- 2025-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.