BRENT DAVID FARE CCP
NPI 1164049995
Perfusionist in Portland, OR
NPI Status: Active since June 27, 2020
Contact Information
3181 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239
Phone: (503) 494-1548
- Individual
- Male
- Perfusionist
About BRENT FARE
This page provides the complete NPI Profile along with additional information for Brent Fare, a provider established in Portland, Oregon with a medical specialization in Perfusionist. The healthcare provider is registered in the NPI registry with number 1164049995 assigned on June 2020. The practitioner's primary taxonomy code is 242T00000X with license number 080013 (OR). The provider is registered as an individual and his NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1164049995
- Provider Name
- BRENT DAVID FARE CCP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3181 SW SAM JACKSON PARK RD PORTLAND, OR 97239
- Location Phone
- (503) 494-1548
- Mailing Address
- 7241 SW 13TH DR PORTLAND, OR 97219
- Mailing Phone
- (503) 319-9457
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-27-2020
- Last Update Date
- 06-27-2020
- 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
Perfusionist
- Taxonomy Code
- 242T00000X
- Type
- Technologists, Technicians & Other Technical Service Providers
- License No.
- 080013
- License State
- OR
- Taxonomy Description
- A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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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 1164049995, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
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 65 is 70. 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 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164049995, enumerated as an "individual" on June 27, 2020.
The provider is located at 3181 SW SAM JACKSON PARK RD PORTLAND, OR 97239 and the phone number is (503) 494-1548.
Perfusionist with taxonomy code 242T00000X.
