PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1225378615
Internal Medicine - Cardiovascular Disease in Newberg, OR

NPI Status: Active since February 21, 2013

Contact Information

1003 PROVIDENCE DR
SUITE 325
NEWBERG, OR
ZIP 97132
Phone: (503) 216-0770

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease
  • CLIA Number: 38D2173058
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 09-09-2026

About PROVIDENCE HEALTH & SERVICES - OREGON

This page provides the complete NPI Profile along with additional information for Providence Health & Services - Oregon, an internist established in Newberg, Oregon operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1225378615 assigned on February 2013. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated one year ago. Providence Health & Services - Oregon operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Donald Wayne Anderson Jr. (Assistant Secreatry For Enrollment)

NPI
1225378615
Provider Legal Name
PROVIDENCE HEALTH & SERVICES - OREGON
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1003 PROVIDENCE DR SUITE 325 NEWBERG, OR 97132
Location Phone
(503) 216-0770
Mailing Address
PO BOX 31001 - 4180 PASADENA, CA 91110
Mailing Phone
(503) 215-6494
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-21-2013
Last Update Date
07-04-2025
Code Navigator

An internist like Providence Health & Services - Oregon is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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)
1207RC0001XAllopathic & Osteopathic Physicians

Internal Medicine
Clinical Cardiac Electrophysiology

 
2261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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 WAYNE ANDERSON JR.

Authorized Official Title
ASSISTANT SECREATRY FOR ENROLLMENT
Authorized Official Phone
(425) 358-9786

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
38D2173058
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
September 10, 2024
Certificate Expiration Date
September 09, 2026
Laboratory Director
DR. YAPING WU
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Providence Health & Services - Oregon 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 1225378615, 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
2
Doubled → 4
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
7
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
1
Doubled → 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 2 → 4 3 → 6 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 4 + 5 + 6 + 7 + 1 + 6 + 6 + 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 1225378615.

Other Providers at the Same Location


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

Nurse Practitioner (Family)
1003 PROVIDENCE DR, STE 325
NEWBERG, OR 97132
Internal Medicine
1003 PROVIDENCE DR, STE 210
NEWBERG, OR 97132
Nurse Practitioner (Family)
1003 PROVIDENCE DR, SUITE 325
NEWBERG, OR 97132
Psychiatry & Neurology (Psychiatry)
1003 PROVIDENCE DR, SUITE 110
NEWBERG, OR 97132
Registered Nurse
1003 PROVIDENCE DR
NEWBERG, OR 97132
Obstetrics & Gynecology
1003 PROVIDENCE DR, SUITE 340
NEWBERG, OR 97132
Obstetrics & Gynecology
1003 PROVIDENCE DR, STE 340
NEWBERG, OR 97132
Obstetrics & Gynecology
1003 PROVIDENCE DR, SUITE 340
NEWBERG, OR 97132
Advanced Practice Midwife
1003 PROVIDENCE DR, SUITE 340
NEWBERG, OR 97132
Obstetrics & Gynecology
1003 PROVIDENCE DR, SUITE 340
NEWBERG, OR 97132
Internal Medicine (Cardiovascular Disease)
1003 PROVIDENCE DR, SUITE 325
NEWBERG, OR 97132
Internal Medicine
1003 PROVIDENCE DR, SUITE 210
NEWBERG, OR 97132
Family Medicine
1003 PROVIDENCE DR, SUITE 210
NEWBERG, OR 97132
Family Medicine
1003 PROVIDENCE DR, SUITE 210
NEWBERG, OR 97132
Internal Medicine
1003 PROVIDENCE DR, STE 110
NEWBERG, OR 97132
Family Medicine
1003 PROVIDENCE DR, STE 210
NEWBERG, OR 97132
Internal Medicine
1003 PROVIDENCE DR, SUITE 110
NEWBERG, OR 97132
Internal Medicine
1003 PROVIDENCE DR, SUITE 110
NEWBERG, OR 97132
Family Medicine
1003 PROVIDENCE DR, SUITE 210
NEWBERG, OR 97132
Internal Medicine (Medical Oncology)
1003 PROVIDENCE DR, STE 310
NEWBERG, OR 97132

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225378615, enumerated as an "organization" on February 21, 2013.

The provider is located at 1003 PROVIDENCE DR SUITE 325 NEWBERG, OR 97132 and the phone number is (503) 216-0770.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.