PROVIDENCE INTEGRATIVE MEDICINE WEST
NPI 1033345012
Clinic/Center in Portland, OR
NPI Status: Active since June 04, 2009
Contact Information
9135 SW BARNES RD
SUITE 161
PORTLAND, OR
ZIP 97225
Phone: (503) 216-0246
- Organization
- Clinic/Center
- CLIA Number: 38D0624945
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 12-31-2027
About PROVIDENCE INTEGRATIVE MEDICINE WEST
This page provides the complete NPI Profile along with additional information for Providence Integrative Medicine West, a provider established in Portland, Oregon operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1033345012 assigned on June 2009. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Providence Integrative Medicine West. The authorized official of this NPI record is Dennis Noonan (Chief Finance Officer)
- NPI
- 1033345012
- Provider Legal Name
- PROVIDENCE ST VINCENT MEDICAL CENTER
- Other Organization Name
- PROVIDENCE INTEGRATIVE MEDICINE WEST
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 9135 SW BARNES RD SUITE 161 PORTLAND, OR 97225
- Location Phone
- (503) 216-0246
- Mailing Address
- PO BOX 3158 PORTLAND, OR 97208
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-04-2009
- Last Update Date
- 06-04-2009
- Code Navigator
Location Map
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
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D0624945
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- January 01, 2026
- Certificate Expiration Date
- December 31, 2027
- Laboratory Director
- DOUGLAS P. BLACKALL
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Providence Integrative Medicine West on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1033345012, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PORTLAND, OR 97225
PORTLAND, OR 97225
PORTLAND, OR 97225
PORTLAND, OR 97225
PORTLAND, OR 97225
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033345012, enumerated as an "organization" on June 04, 2009.
The provider is located at 9135 SW BARNES RD SUITE 161 PORTLAND, OR 97225 and the phone number is (503) 216-0246.
Clinic/Center with taxonomy code 261Q00000X.
