Gresham Station Surgery Center LLC
Gresham Station Surgery Center LLC is a healthcare organization registered as Ambulatory Surgical Clinic/Center in Gresham, OR, holding Type 2 (organization) NPI 1235195447 since 2006. The authorized official on file is Michael Skinner, Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1235195447 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Gresham Station Surgery Center LLC |
| Practice address | 831 NW COUNCIL DRIVE, SUITE 212, Gresham, OR, 97030 |
| Phone | 5039071907 |
| Fax | 5034892073 |
| Enumeration date | 2006-04-25 |
| Last updated in NPPES | 2010-05-04 |
Authorized official
| Name | Michael Skinner |
|---|---|
| Title | Administrator |
| Phone | 5039071907 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QA1903X | Ambulatory Surgical Clinic/Center | Secondary | 394819 | OR |
| 261QA1903X | Ambulatory Surgical Clinic/Center | Primary | 07-1567 | OR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213664 | Medicaid | OR | — |
Copy-ready billing details
Provider: Gresham Station Surgery Center LLC NPI: 1235195447 Taxonomy: 261QA1903X (Ambulatory Surgical Clinic/Center) Address: 831 NW COUNCIL DRIVE, SUITE 212, Gresham, OR, 97030
Verify this record
Cross-check NPI 1235195447 against the authoritative CMS record: view Gresham Station Surgery Center LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Gresham Station Surgery Center LLC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-05-04.