PROVIDENCE HEALTH & SERVICES OREGON
NPI 1033804091
Psychiatry & Neurology - Addiction Psychiatry in Portland, OR
NPI Status: Active since April 06, 2023
Contact Information
4400 NE HALSEY ST, BLDG 2
STE 599
PORTLAND, OR
ZIP 97213
Phone: (503) 215-2110
- Organization
- Psychiatry & Neurology
- Addiction Psychiatry
- CLIA Number: 38D0898204
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-31-2027
About PROVIDENCE HEALTH & SERVICES OREGON
This page provides the complete NPI Profile along with additional information for Providence Health & Services Oregon, a provider established in Portland, Oregon operating as a Psychiatry & Neurology, focusing in addiction psychiatry . The healthcare provider is registered in the NPI registry with number 1033804091 assigned on April 2023. The practitioner's primary taxonomy code is 2084P0802X. The provider is registered as an organization and their NPI record was last updated one year ago. Providence Health & Services Oregon operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's
- NPI
- 1033804091
- Provider Legal Name
- PROVIDENCE HEALTH & SERVICES OREGON
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 4400 NE HALSEY ST, BLDG 2 STE 599 PORTLAND, OR 97213
- Location Phone
- (503) 215-2110
- Mailing Address
- PO BOX 31001 - 4180 PASADENA, CA 91110
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-06-2023
- Last Update Date
- 06-20-2025
- 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
Psychiatry & Neurology Addiction Psychiatry
- Taxonomy Code
- 2084P0802X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 38D0898204
- Facility Type
- Physician Office
- Certificate Effective Date
- August 01, 2025
- Certificate Expiration Date
- July 31, 2027
- Laboratory Director
- BRENT HOFFMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Providence Health & Services Oregon to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1033804091, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
PORTLAND, OR 97213
PORTLAND, OR 97213
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033804091, enumerated as an "organization" on April 06, 2023.
The provider is located at 4400 NE HALSEY ST, BLDG 2 STE 599 PORTLAND, OR 97213 and the phone number is (503) 215-2110.
Psychiatry & Neurology with taxonomy code 2084P0802X and a focus in Addiction Psychiatry.
