AMY JENNIFER MALIA CROCKFORD
NPI 1104102813
Student in an Organized Health Care Education/Training Program in Portland, OR

NPI Status: Active since October 26, 2011

Contact Information

5200 SW MACADAM AVE
# 580
PORTLAND, OR
ZIP 97239
Phone: (503) 231-7854

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  • Individual
  • Female
  • Student in an Organized Health Care Educ...

About AMY CROCKFORD

This page provides the complete NPI Profile along with additional information for Amy Crockford, a primary care provider established in Portland, Oregon with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1104102813 assigned on October 2011. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1104102813
Provider Name
AMY JENNIFER MALIA CROCKFORD
Gender
Female
Entity Type
Individual
Location Address
5200 SW MACADAM AVE # 580 PORTLAND, OR 97239
Location Phone
(503) 231-7854
Mailing Address
5200 SW MACADAM AVE # 580 PORTLAND, OR 97239
Is Sole Proprietor?
No
Enumeration Date
10-26-2011
Last Update Date
12-02-2015
Code Navigator

A primary care provider (PCP) like Amy Crockford 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

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

 

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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 1104102813, we treat the final digit (3) 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 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
3
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 0 → 0 1 → 2 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 2 + 0 + 4 + 8 + 2 + 24 = 47

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

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1104102813.

Other Providers at the Same Location


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

Physical Therapist (Pediatrics)
5200 SW MACADAM AVE
PORTLAND, OR 97239
Psychologist
5200 SW MACADAM AVE, #580
PORTLAND, OR 97239
Speech-Language Pathologist
5200 SW MACADAM AVE, SUITE 100
PORTLAND, OR 97239
Speech-Language Pathologist
5200 SW MACADAM AVE
PORTLAND, OR 97239
Physical Therapist
5200 SW MACADAM AVE, SUITE 100
PORTLAND, OR 97239
Psychologist (Clinical)
5200 SW MACADAM AVE, # 580
PORTLAND, OR 97239
Physical Therapist
5200 SW MACADAM AVE, STE 100, THERAPY SOLUTIONS FOR KIDS
PORTLAND, OR 97239
Speech-Language Pathologist
5200 SW MACADAM AVE, SUITE 100
PORTLAND, OR 97239
Psychologist (Cognitive & Behavioral)
5200 SW MACADAM AVE, STE 580
PORTLAND, OR 97239
Counselor (Mental Health)
5200 SW MACADAM AVE
PORTLAND, OR 97239
Social Worker (Clinical)
5200 SW MACADAM AVE, SUITE 580
PORTLAND, OR 97239
Counselor (Professional)
5200 SW MACADAM AVE, SUITE 580
PORTLAND, OR 97239
Psychologist (Clinical)
5200 SW MACADAM AVE, SUITE 580
PORTLAND, OR 97239
Occupational Therapist
5200 SW MACADAM AVE, SUITE 100
PORTLAND, OR 97239
Psychologist (Cognitive & Behavioral)
5200 SW MACADAM AVE, SUIDE 580
PORTLAND, OR 97239
Counselor
5200 SW MACADAM AVE, STE 580
PORTLAND, OR 97239
Psychologist (Clinical)
5200 SW MACADAM AVE, SUITE 580
PORTLAND, OR 97239
Case Manager/Care Coordinator
5200 SW MACADAM AVE, SUITE 580
PORTLAND, OR 97239
Counselor
5200 SW MACADAM AVE, SUITE 580
PORTLAND, OR 97239
Counselor (Mental Health)
5200 SW MACADAM AVE, SUITE 580
PORTLAND, OR 97239

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104102813, enumerated as an "individual" on October 26, 2011.

The provider is located at 5200 SW MACADAM AVE # 580 PORTLAND, OR 97239 and the phone number is (503) 231-7854.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.