THE PORTLAND CLINIC LABORATORY
NPI 1053448795
Clinical Medical Laboratory in Portland, OR

NPI Status: Active since February 28, 2007

Contact Information

800 SW 13TH AVE
PORTLAND, OR
ZIP 97205
Phone: (503) 221-0161
Fax: (503) 274-1697

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  • Organization
  • Clinical Medical Laboratory
  • Accepts Insurance

About THE PORTLAND CLINIC LABORATORY

This page provides the complete NPI Profile along with additional information for The Portland Clinic Laboratory, a provider established in Portland, Oregon operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1053448795 assigned on February 2007. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Dick Clark (Ceo)

NPI
1053448795
Provider Name
THE PORTLAND CLINIC LABORATORY
Entity Type
Organization
Location Address
800 SW 13TH AVE PORTLAND, OR 97205
Location Phone
(503) 221-0161
Location Fax
(503) 274-1697
Mailing Address
800 SW 13TH AVE PORTLAND, OR 97205
Mailing Phone
(503) 221-0161
Mailing Fax
(503) 274-1697
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-28-2007
Last Update Date
10-26-2020
Code Navigator

Establishments like The Portland Clinic Laboratory are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

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

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
Taxonomy Description
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

Insurance Plans Accepted

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

  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • Core Standard Gold - EPO
  • Core Standard Silver - EPO
  • PacificSource Oregon Standard Bronze HSA Plan Core - EPO
  • PacificSource Oregon Standard Gold Plan Core - EPO
  • PacificSource Oregon Standard Silver Plan Core - EPO

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. DICK CLARK

Authorized Official Title
CEO
Authorized Official Phone
(503) 221-0161

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
38D06235OTHER (01)ORCLIA

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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 1053448795, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
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 5 → 10 → 1 4 → 8 8 → 16 → 7 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 0 + 3 + 8 + 4 + 1 + 6 + 7 + 1 + 8 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1053448795.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
800 SW 13TH AVE
PORTLAND, OR 97205
Physical Therapist
800 SW 13TH AVE
PORTLAND, OR 97205
Internal Medicine
800 SW 13TH AVE
PORTLAND, OR 97205
Nurse Practitioner
800 SW 13TH AVE
PORTLAND, OR 97205
Internal Medicine
800 SW 13TH AVE
PORTLAND, OR 97205
Internal Medicine
800 SW 13TH AVE
PORTLAND, OR 97205
Internal Medicine
800 SW 13TH AVE
PORTLAND, OR 97205
Internal Medicine
800 SW 13TH AVE
PORTLAND, OR 97205
Podiatrist
800 SW 13TH AVE
PORTLAND, OR 97205
Radiology (Body Imaging)
800 SW 13TH AVE
PORTLAND, OR 97205
Surgery
800 SW 13TH AVE
PORTLAND, OR 97205
Internal Medicine (Gastroenterology)
800 SW 13TH AVE
PORTLAND, OR 97205
Physical Therapist
800 SW 13TH AVE
PORTLAND, OR 97205
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
800 SW 13TH AVE
PORTLAND, OR 97205
Pharmacist (Ambulatory Care)
800 SW 13TH AVE
PORTLAND, OR 97205
Physical Therapist (Orthopedic)
800 SW 13TH AVE
PORTLAND, OR 97205
Social Worker (Clinical)
800 SW 13TH AVE
PORTLAND, OR 97205
Pharmacist
800 SW 13TH AVE
PORTLAND, OR 97205
Clinic/Center (Ambulatory Surgical)
800 SW 13TH AVE
PORTLAND, OR 97205
Internal Medicine
800 SW 13TH AVE
PORTLAND, OR 97205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053448795, enumerated as an "organization" on February 28, 2007.

The provider is located at 800 SW 13TH AVE PORTLAND, OR 97205 and the phone number is (503) 221-0161.

Clinical Medical Laboratory with taxonomy code 291U00000X.

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