OREGON CLINIC PC
NPI 1417112616
Specialist in Newberg, OR
NPI Status: Active since July 28, 2008
Contact Information
879 N PROVIDENCE DR
NEWBERG, OR
ZIP 97132
Phone: (503) 692-3750
Fax: (503) 691-2324
- Organization
- Specialist
- Accepts Insurance
- CLIA Number: 38D0710651
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 09-26-2026
About OREGON CLINIC PC
This page provides the complete NPI Profile along with additional information for Oregon Clinic Pc, a provider established in Newberg, Oregon operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1417112616 assigned on July 2008. The practitioner's primary taxonomy code is 174400000X with license number 160412 (OR). The provider is registered as an organization and their NPI record was last updated one year ago. Oregon Clinic Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's
- NPI
- 1417112616
- Provider Legal Name
- OREGON CLINIC PC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 879 N PROVIDENCE DR NEWBERG, OR 97132
- Location Phone
- (503) 692-3750
- Location Fax
- (503) 691-2324
- Mailing Address
- PO BOX 5277 PORTLAND, OR 97208
- Mailing Phone
- (503) 963-2801
- Mailing Fax
- (503) 691-2324
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-28-2008
- Last Update Date
- 09-02-2025
- Code Navigator
Location Map
Secondary Locations
- 1784 May St Ste A
Hood River, OR 97031
(503) 488-2323
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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 160412
- License State
- OR
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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.
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
- 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
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 38D0710651
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- September 27, 2024
- Certificate Expiration Date
- September 26, 2026
- Laboratory Director
- SWAPNA REDDY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Oregon Clinic Pc 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.
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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 1417112616, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
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 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417112616, enumerated as an "organization" on July 28, 2008.
The provider is located at 879 N PROVIDENCE DR NEWBERG, OR 97132 and the phone number is (503) 692-3750.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: BridgeSpan Health Company and Regence BlueCross. Please consult your insurance carrier or call the provider to verify.
