PROVIDENCE HEALTH SYSTEM OREGON
NPI 1023098118
Clinic/Center - Multi-Specialty in Portland, OR

NPI Status: Active since January 17, 2006

Contact Information

4540 NE GLISAN ST
PORTLAND, OR
ZIP 97213
Phone: (503) 215-3738
Fax: (503) 215-6942

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About PROVIDENCE HEALTH SYSTEM OREGON

This page provides the complete NPI Profile along with additional information for Providence Health System Oregon, a provider established in Portland, Oregon operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1023098118 assigned on January 2006. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Mr. Donald W Anderson Jr. (Assistant Secretary Of Enrollment)

NPI
1023098118
Provider Legal Name
PROVIDENCE HEALTH SYSTEM OREGON
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
4540 NE GLISAN ST PORTLAND, OR 97213
Location Phone
(503) 215-3738
Location Fax
(503) 215-6942
Mailing Address
13007 NE GLISAN ST PORTLAND, OR 97230
Mailing Phone
(503) 215-6556
Mailing Fax
(503) 215-6942
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-17-2006
Last Update Date
05-16-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DONALD W ANDERSON JR.

Authorized Official Title
ASSISTANT SECRETARY OF ENROLLMENT
Authorized Official Phone
(425) 358-9786

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
005673MEDICAID (05)OR 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023098118, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 0 + 9 + 1 + 6 + 1 + 2 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1023098118.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Registered Nurse (Gerontology)
4540 NE GLISAN ST
PORTLAND, OR 97213
Registered Nurse
4540 NE GLISAN ST
PORTLAND, OR 97213
Registered Nurse (Community Health)
4540 NE GLISAN ST
PORTLAND, OR 97213
Registered Nurse (Home Health)
4540 NE GLISAN ST
PORTLAND, OR 97213
Registered Nurse
4540 NE GLISAN ST
PORTLAND, OR 97213
Registered Nurse (Community Health)
4540 NE GLISAN ST
PORTLAND, OR 97213
Registered Nurse (Gerontology)
4540 NE GLISAN ST
PORTLAND, OR 97213
Registered Nurse (Gerontology)
4540 NE GLISAN ST
PORTLAND, OR 97213
Registered Nurse
4540 NE GLISAN ST
PORTLAND, OR 97213
Dietitian, Registered
4540 NE GLISAN ST
PORTLAND, OR 97213
Registered Nurse (Gerontology)
4540 NE GLISAN ST
PORTLAND, OR 97213
Occupational Therapist
4540 NE GLISAN ST
PORTLAND, OR 97213
Registered Nurse (Case Management)
4540 NE GLISAN ST
PORTLAND, OR 97213
Registered Nurse
4540 NE GLISAN ST
PORTLAND, OR 97213
Internal Medicine
4540 NE GLISAN ST
PORTLAND, OR 97213
Family Medicine (Geriatric Medicine)
4540 NE GLISAN ST
PORTLAND, OR 97213
Registered Nurse (Home Health)
4540 NE GLISAN ST
PORTLAND, OR 97213
Physical Therapist
4540 NE GLISAN ST
PORTLAND, OR 97213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023098118, enumerated as an "organization" on January 17, 2006.

The provider is located at 4540 NE GLISAN ST PORTLAND, OR 97213 and the phone number is (503) 215-3738.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.