PROVIDENCE
NPI 1053636126
General Acute Care Hospital - Critical Access in Portland, OR
NPI Status: Active since April 01, 2010
Contact Information
9205 SW BARNES RD
PORTLAND, OR
ZIP 97225
Phone: (503) 216-1234
- Organization
- General Acute Care Hospital
- Critical Access
- CLIA Number: 38D0870127
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-31-2028
About PROVIDENCE
This page provides the complete NPI Profile along with additional information for Providence, a provider established in Portland, Oregon operating as a General Acute Care Hospital, focusing in critical access . The healthcare provider is registered in the NPI registry with number 1053636126 assigned on April 2010. The practitioner's primary taxonomy code is 282NC0060X with license number 090006973RN (OR). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's other name is Providence. The authorized official of this NPI record is Ms. Linda Bryant Mp (Nurse Manager)
- NPI
- 1053636126
- Provider Legal Name
- ST. VINCENT'S HOSPITOL
- Other Organization Name
- PROVIDENCE
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 9205 SW BARNES RD PORTLAND, OR 97225
- Location Phone
- (503) 216-1234
- Mailing Address
- 14849 SW 116TH PL TIGARD, OR 97224
- Mailing Phone
- (503) 352-4640
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-01-2010
- Last Update Date
- 04-01-2010
- 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
General Acute Care Hospital Critical Access
- Taxonomy Code
- 282NC0060X
- Type
- Hospitals
- License No.
- 090006973RN
- License State
- OR
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
- 38D0870127
- Facility Type
- Physician Office
- Certificate Effective Date
- April 01, 2026
- Certificate Expiration Date
- March 31, 2028
- Laboratory Director
- TOM CHAU
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Providence 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 1053636126, we treat the final digit (6) 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 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 6).
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 44 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
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053636126, enumerated as an "organization" on April 01, 2010.
The provider is located at 9205 SW BARNES RD PORTLAND, OR 97225 and the phone number is (503) 216-1234.
General Acute Care Hospital with taxonomy code 282NC0060X and a focus in Critical Access.
