NORTHWEST HOSPICE LLC
NPI 1205849965
Hospice Care, Community Based in Tigard, OR

NPI Status: Active since August 14, 2006

Contact Information

7632 SW DURHAM RD
SUITE 130
TIGARD, OR
ZIP 97224
Phone: (800) 936-4756
Fax: (503) 682-3989

Get Directions Write a Review

  • Organization
  • Hospice Care, Community Based
  • Accepts Insurance
  • CLIA Number: 38D2207573
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 12-28-2026

About NORTHWEST HOSPICE LLC

This page provides the complete NPI Profile along with additional information for Northwest Hospice Llc, a provider established in Tigard, Oregon operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1205849965 assigned on August 2006. The practitioner's primary taxonomy code is 251G00000X with license number 00177914 (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 Mr. Robert Thomas Pt, Mspt (President)

NPI
1205849965
Provider Legal Name
NORTHWEST HOSPICE LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
7632 SW DURHAM RD SUITE 130 TIGARD, OR 97224
Location Phone
(800) 936-4756
Location Fax
(503) 682-3989
Mailing Address
7632 SW DURHAM RD STE 105 TIGARD, OR 97224
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-14-2006
Last Update Date
11-13-2025
Code Navigator

Location Map

Secondary Locations

  • 1220 20th St SE Ste 306
    Salem, OR 97302
    (503) 364-0347

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

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies
License No.
00177914
License State
OR

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Bronze 8000 Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Legacy - EPO
  • Bronze HSA 7000 Individual Connect - EPO
  • Gold 2300 Individual Connect - EPO
  • Gold 2300 Legacy - EPO
  • Regence Standard Bronze Plan Individual Connect - EPO
  • Regence Standard Bronze Plan Legacy - EPO
  • Regence Standard Gold Plan Individual Connect - EPO
  • Regence Standard Gold Plan Legacy - EPO
  • Regence Standard Silver Plan Individual Connect - EPO
  • Regence Standard Silver Plan Legacy - EPO
  • Silver 6500 Individual Connect - EPO
  • Silver 6500 Legacy - EPO

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

MR. ROBERT THOMAS PT, MSPT

Authorized Official Title
PRESIDENT
Authorized Official Phone
(503) 783-2473

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
005832MEDICAID (05)OR 

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
38D2207573
Facility Type
Hospice
Certificate Effective Date
December 29, 2024
Certificate Expiration Date
December 28, 2026
Laboratory Director
DR. CARMA LEE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Northwest Hospice Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for NORTHWEST HOSPICE LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1205849965, 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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
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 8 → 16 → 7 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 0 + 5 + 1 + 6 + 4 + 1 + 8 + 9 + 1 + 2 + 24 = 65

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.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1205849965.

Other Providers at the Same Location


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

Hospice Care, Community Based
7632 SW DURHAM RD, SUITE 130
TIGARD, OR 97224
Physical Therapist
7632 SW DURHAM RD
TIGARD, OR 97224
Occupational Therapist
7632 SW DURHAM RD
TIGARD, OR 97224
Physical Therapist
7632 SW DURHAM RD
TIGARD, OR 97224

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205849965, enumerated as an "organization" on August 14, 2006.

The provider is located at 7632 SW DURHAM RD SUITE 130 TIGARD, OR 97224 and the phone number is (800) 936-4756.

Hospice Care, Community Based with taxonomy code 251G00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.