MEDIPRO HOLISTIC HEALTH
NPI 1457692444
Clinic/Center - Multi-Specialty in Beaverton, OR

NPI Status: Active since March 15, 2013

Contact Information

17933 NW EVERGREEN PKWY
SUITE 220
BEAVERTON, OR
ZIP 97006
Phone: (503) 828-9265
Fax: (503) 828-9054

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About MEDIPRO HOLISTIC HEALTH

This page provides the complete NPI Profile along with additional information for Medipro Holistic Health, a provider established in Beaverton, Oregon operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1457692444 assigned on March 2013. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Medipro Holistic Health operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Medipro Holistic Health. The authorized official of this NPI record is Mrs. Kelly Kyser (Office Manager)

NPI
1457692444
Provider Legal Name
MEDIPRO DIRECT SLIM, LLC
Other Organization Name
MEDIPRO HOLISTIC HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
17933 NW EVERGREEN PKWY SUITE 220 BEAVERTON, OR 97006
Location Phone
(503) 828-9265
Location Fax
(503) 828-9054
Mailing Address
17933 NW EVERGREEN PKWY STE 285 BEAVERTON, OR 97006
Mailing Phone
(503) 828-9265
Mailing Fax
(503) 828-9054
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-15-2013
Last Update Date
10-26-2022
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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 Multi-Specialty

Taxonomy Code
261QM1300X
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)
1111N00000XChiropractic Providers

Chiropractor

 
2133N00000XDietary & Nutritional Service Providers

Nutritionist

 
3171100000XOther Service Providers

Acupuncturist

 
4175F00000XOther Service Providers

Naturopath

1430 (OR)
5175F00000XOther Service Providers

Naturopath

 
62081P2900XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation
Pain Medicine

 
7208VP0000XAllopathic & Osteopathic Physicians

Pain Medicine
Pain Medicine

 
8208VP0014XAllopathic & Osteopathic Physicians

Pain Medicine
Interventional Pain Medicine

 
9363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

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

MRS. KELLY KYSER

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(503) 828-9265

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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 1457692444, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
4
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 5 → 10 → 1 6 → 12 → 3 2 → 4 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 0 + 7 + 1 + 2 + 9 + 4 + 4 + 8 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1457692444.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Naturopath
17933 NW EVERGREEN PKWY, SUITE 285
BEAVERTON, OR 97006
Chiropractor
17933 NW EVERGREEN PKWY, SUITE 285
BEAVERTON, OR 97006

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457692444, enumerated as an "organization" on March 15, 2013.

The provider is located at 17933 NW EVERGREEN PKWY SUITE 220 BEAVERTON, OR 97006 and the phone number is (503) 828-9265.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.