PORTLAND VA MEDICAL CENTER
NPI 1114009628
Military Hospital in Portland, OR
NPI Status: Active since October 20, 2006
Contact Information
3710 SW SAM JACKSON ROAD
PORTLAND, OR
ZIP 97207
Phone: (503) 220-8262
- Organization
- Military Hospital
- CLIA Number: 38D0988131
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 05-22-2026
About PORTLAND VA MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Portland Va Medical Center, a provider established in Portland, Oregon operating as a Military Hospital. The healthcare provider is registered in the NPI registry with number 1114009628 assigned on October 2006. The practitioner's primary taxonomy code is 286500000X with license number L3442 (OR). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Susan Plennes Schuster Lcsw (Social Worker)
- NPI
- 1114009628
- Provider Name
- PORTLAND VA MEDICAL CENTER
- Entity Type
- Organization
- Location Address
- 3710 SW SAM JACKSON ROAD PORTLAND, OR 97207
- Location Phone
- (503) 220-8262
- Mailing Address
- PO BOX 1034 PORTLAND, OR 97207
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-20-2006
- Last Update Date
- 08-14-2008
- 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
Military Hospital
- Taxonomy Code
- 286500000X
- Type
- Hospitals
- License No.
- L3442
- License State
- OR
- Taxonomy Description
- A health care facility operated by the Department of Defense.
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
- 38D0988131
- Facility Type
- Hospital
- Certificate Effective Date
- June 21, 2001
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- DEAN FONG
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Portland Va Medical Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1114009628, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
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 52 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114009628, enumerated as an "organization" on October 20, 2006.
The provider is located at 3710 SW SAM JACKSON ROAD PORTLAND, OR 97207 and the phone number is (503) 220-8262.
Military Hospital with taxonomy code 286500000X.
