NORTHWEST PAIN INSTITUTE
NPI 1427674324
Clinic/Center - Pain in Forest Grove, OR
NPI Status: Active since June 17, 2020
Contact Information
2005 CEDAR ST
FOREST GROVE, OR
ZIP 97116
Phone: (503) 883-8297
- Organization
- Clinic/Center
- Pain
- Accepts Insurance
- CLIA Number: 38D2203728
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-03-2026
About NORTHWEST PAIN INSTITUTE
This page provides the complete NPI Profile along with additional information for Northwest Pain Institute, a provider established in Forest Grove, Oregon operating as a Clinic/center, focusing in pain . The healthcare provider is registered in the NPI registry with number 1427674324 assigned on June 2020. The practitioner's primary taxonomy code is 261QP3300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Trevor Jorgensen Md (Md/owner)
- NPI
- 1427674324
- Provider Name
- NORTHWEST PAIN INSTITUTE
- Entity Type
- Organization
- Location Address
- 2005 CEDAR ST FOREST GROVE, OR 97116
- Location Phone
- (503) 883-8297
- Mailing Address
- 2005 CEDAR ST FOREST GROVE, OR 97116
- Mailing Phone
- (503) 883-8297
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-17-2020
- Last Update Date
- 07-27-2020
- 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
Clinic/Center Pain
- Taxonomy Code
- 261QP3300X
- Type
- Ambulatory Health Care Facilities
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) |
|---|---|---|---|---|
| 1 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center |
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 7750 - 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 Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
- Bronze HSA 7000 Individual and Family Network - EPO
- Gold 2300 Individual and Family Network - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Silver 6200 Individual and Family Network - 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
- 38D2203728
- Facility Type
- Physician Office
- Certificate Effective Date
- December 04, 2024
- Certificate Expiration Date
- December 03, 2026
- Laboratory Director
- TREVOR D. JORGENSEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Northwest Pain Institute 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 6 | 7 | 4 | 3 | 2 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 12 | 7 | 8 | 3 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 1 + 2 + 7 + 8 + 3 + 4 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1427674324 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
DR. TREVOR DEE JORGENSEN M.D.
Physical Medicine & Rehabilitation
(Pain Medicine)
2005 CEDAR ST
FOREST GROVE, OR
ZIP 97116
MICHAELA ROXANA WESTOVER FNP-BC
Nurse Practitioner
(Family)
2005 CEDAR ST
FOREST GROVE, OR
ZIP 97116
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427674324, enumerated as an "organization" on June 17, 2020.
The provider is located at 2005 CEDAR ST FOREST GROVE, OR 97116 and the phone number is (503) 883-8297.
Clinic/Center with taxonomy code 261QP3300X and a focus in Pain.
The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.
