KAISER PERMANENTE 3 TO PHD WELLNESS CENTER
NPI 1073030730
Family Medicine in Portland, OR

NPI Status: Active since August 24, 2017

Contact Information

2930 NE DEKUM ST
PORTLAND, OR
ZIP 97211
Phone: (800) 813-2000
Fax: (503) 286-6879

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  • Organization
  • Family Medicine

About KAISER PERMANENTE 3 TO PHD WELLNESS CENTER

This page provides the complete NPI Profile along with additional information for Kaiser Permanente 3 To Phd Wellness Center, a primary care provider established in Portland, Oregon operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1073030730 assigned on August 2017. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Kaiser Permanente 3 To Phd Wellness Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Kaiser Permanente 3 To Phd Wellness Center. The authorized official of this NPI record is Stephen Shawn Barton (Executive Director, Revenue Cycle)

NPI
1073030730
Provider Legal Name
KAISER FOUNDATION HEALTH PLAN NORTHWEST
Other Organization Name
KAISER PERMANENTE 3 TO PHD WELLNESS CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2930 NE DEKUM ST PORTLAND, OR 97211
Location Phone
(800) 813-2000
Location Fax
(503) 286-6879
Mailing Address
500 NE MULTNOMAH ST PORTLAND, OR 97232
Mailing Phone
(800) 813-2000
Mailing Fax
(503) 286-6879
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-24-2017
Last Update Date
06-01-2021
Code Navigator

A primary care provider (PCP) like Kaiser Permanente 3 To Phd Wellness Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

 
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
3363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
4363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 
5364S00000XPhysician Assistants & Advanced Practice Nursing Providers

Clinical Nurse Specialist

 

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.

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

STEPHEN SHAWN BARTON

Authorized Official Title
EXECUTIVE DIRECTOR, REVENUE CYCLE
Authorized Official Phone
(503) 813-2440

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
147090MEDICAID (05)OR 
7857501MEDICAID (05)WA 

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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 1073030730, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

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
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
Check
0
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 7 → 14 → 5 0 → 0 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 4 + 3 + 0 + 3 + 0 + 7 + 6 + 24 = 50

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

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1073030730.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Dental Assistant
2930 NE DEKUM ST
PORTLAND, OR 97211
Dentist
2930 NE DEKUM ST
PORTLAND, OR 97211
Dentist
2930 NE DEKUM ST
PORTLAND, OR 97211
Speech-Language Pathologist
2930 NE DEKUM ST
PORTLAND, OR 97211

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073030730, enumerated as an "organization" on August 24, 2017.

The provider is located at 2930 NE DEKUM ST PORTLAND, OR 97211 and the phone number is (800) 813-2000.

Family Medicine with taxonomy code 207Q00000X.

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