PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1104113380
Psychiatric Unit in Portland, OR

NPI Status: Active since July 07, 2011

Contact Information

4805 NE GLISAN ST
PORTLAND, OR
ZIP 97213
Phone: (503) 215-4323
Fax: (503) 215-0297

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  • Organization
  • Psychiatric Unit

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 Psychiatric Unit. The healthcare provider is registered in the NPI registry with number 1104113380 assigned on July 2011. The practitioner's primary taxonomy code is 273R00000X with license number 023981 (OR). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Donald W Anderson Jr. (Assistant Secretary Enrollments)

NPI
1104113380
Provider Legal Name
PROVIDENCE HEALTH & SERVICES - OREGON
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
4805 NE GLISAN ST PORTLAND, OR 97213
Location Phone
(503) 215-4323
Location Fax
(503) 215-0297
Mailing Address
PO BOX 3395 PORTLAND, OR 97208
Mailing Phone
(503) 215-4323
Mailing Fax
(503) 215-0297
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-07-2011
Last Update Date
05-07-2025
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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

Psychiatric Unit

Taxonomy Code
273R00000X
Type
Hospital Units
License No.
023981
License State
OR
Taxonomy Description
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.

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)
1282N00000XHospitals

General Acute Care Hospital

023981 (OR)

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

DONALD W ANDERSON JR.

Authorized Official Title
ASSISTANT SECRETARY ENROLLMENTS
Authorized Official Phone
(425) 358-9786

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
023981MEDICAID (05)OR 
500400190MEDICAID (05)OR 

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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 1104113380, 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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 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 0 → 0 1 → 2 3 → 6 8 → 16 → 7

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 + 1 + 6 + 3 + 1 + 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 1104113380.

Other Providers at the Same Location


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

Internal Medicine
4805 NE GLISAN ST, SUITE BG05
PORTLAND, OR 97213
Internal Medicine (Medical Oncology)
4805 NE GLISAN ST, 6N40
PORTLAND, OR 97213
Registered Nurse (General Practice)
4805 NE GLISAN ST, 3E
PORTLAND, OR 97213
Internal Medicine
4805 NE GLISAN ST, SUITE BG05
PORTLAND, OR 97213
Internal Medicine
4805 NE GLISAN ST, SUITE BG05
PORTLAND, OR 97213
Internal Medicine
4805 NE GLISAN ST, BG05
PORTLAND, OR 97213
Psychiatry & Neurology (Psychiatry)
4805 NE GLISAN ST, 5L
PORTLAND, OR 97213
Registered Nurse
4805 NE GLISAN ST
PORTLAND, OR 97213
Psychiatry & Neurology (Psychiatry)
4805 NE GLISAN ST, 3E
PORTLAND, OR 97213
Personal Emergency Response Attendant
4805 NE GLISAN ST
PORTLAND, OR 97213
Nurse Practitioner (Family)
4805 NE GLISAN ST
PORTLAND, OR 97213
Nurse Practitioner (Family)
4805 NE GLISAN ST
PORTLAND, OR 97213
Nurse Anesthetist, Certified Registered
4805 NE GLISAN ST, PROVIDENCE PORTLAND MEDICAL CENTER
PORTLAND, OR 97213
Nurse Practitioner (Adult Health)
4805 NE GLISAN ST, STE 6N50
PORTLAND, OR 97213
Emergency Medicine
4805 NE GLISAN ST
PORTLAND, OR 97213
Emergency Medicine
4805 NE GLISAN ST
PORTLAND, OR 97213
Emergency Medicine
4805 NE GLISAN ST
PORTLAND, OR 97213
Emergency Medicine
4805 NE GLISAN ST
PORTLAND, OR 97213
Emergency Medicine
4805 NE GLISAN ST
PORTLAND, OR 97213
Emergency Medicine
4805 NE GLISAN ST
PORTLAND, OR 97213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104113380, enumerated as an "organization" on July 07, 2011.

The provider is located at 4805 NE GLISAN ST PORTLAND, OR 97213 and the phone number is (503) 215-4323.

Psychiatric Unit with taxonomy code 273R00000X.

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