PEDIATRIC ENDOCRINOLOGY OF PORTLAND, P.C.
NPI 1639383466
Pediatrics - Pediatric Endocrinology in Portland, OR

NPI Status: Active since May 10, 2007

Contact Information

9155 SW BARNES RD
SUITE 931
PORTLAND, OR
ZIP 97225
Phone: (503) 206-3636
Fax: (503) 206-3635

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  • Organization
  • Pediatrics
  • Pediatric Endocrinology

About PEDIATRIC ENDOCRINOLOGY OF PORTLAND, P.C.

This page provides the complete NPI Profile along with additional information for Pediatric Endocrinology Of Portland, P.c., a pediatrician established in Portland, Oregon operating as a Pediatrics, focusing in pediatric endocrinology . The healthcare provider is registered in the NPI registry with number 1639383466 assigned on May 2007. The practitioner's primary taxonomy code is 2080P0205X with license number MD22738 (OR). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Dale Michael Willis Md, Phd (President)

NPI
1639383466
Provider Name
PEDIATRIC ENDOCRINOLOGY OF PORTLAND, P.C.
Entity Type
Organization
Location Address
9155 SW BARNES RD SUITE 931 PORTLAND, OR 97225
Location Phone
(503) 206-3636
Location Fax
(503) 206-3635
Mailing Address
9155 SW BARNES RD SUITE 931 PORTLAND, OR 97225
Mailing Phone
(503) 206-3636
Mailing Fax
(503) 206-3635
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2007
Last Update Date
08-22-2020
Code Navigator

A pediatrician like Pediatric Endocrinology Of Portland, P.c. is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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

Pediatrics Pediatric Endocrinology

Taxonomy Code
2080P0205X
Type
Allopathic & Osteopathic Physicians
License No.
MD22738
License State
OR
Taxonomy Description
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

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

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

DR. DALE MICHAEL WILLIS MD, PHD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(503) 206-3636

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
287841MEDICAID (05)OR 

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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 1639383466, 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 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.

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

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 6 + 9 + 6 + 8 + 6 + 4 + 1 + 2 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1639383466.

Other Providers at the Same Location


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

Nurse Practitioner (Family)
9155 SW BARNES RD, STE 740
PORTLAND, OR 97225
Psychiatry & Neurology (Psychiatry)
9155 SW BARNES RD, STE 418
PORTLAND, OR 97225
Ophthalmology
9155 SW BARNES RD, 336
PORTLAND, OR 97225
Plastic Surgery (Surgery of the Hand)
9155 SW BARNES RD, STE 220
PORTLAND, OR 97225
Surgery
9155 SW BARNES RD, STE 217
PORTLAND, OR 97225
Urology
9155 SW BARNES RD, SUITE 836
PORTLAND, OR 97225
Physician Assistant
9155 SW BARNES RD, SUITE 440
PORTLAND, OR 97225
Neurological Surgery
9155 SW BARNES RD, SUITE 440
PORTLAND, OR 97225
Internal Medicine
9155 SW BARNES RD, SUITE 340
PORTLAND, OR 97225
Physical Medicine & Rehabilitation
9155 SW BARNES RD, STE 204
PORTLAND, OR 97225
Internal Medicine (Cardiovascular Disease)
9155 SW BARNES RD, #204
PORTLAND, OR 97225
Internal Medicine
9155 SW BARNES RD, SUITE 238
PORTLAND, OR 97225
Otolaryngology
9155 SW BARNES RD, STE 401
PORTLAND, OR 97225
Physical Medicine & Rehabilitation
9155 SW BARNES RD, #440
PORTLAND, OR 97225
Specialist
9155 SW BARNES RD, SUITE 430
PORTLAND, OR 97225
Specialist
9155 SW BARNES RD, SUITE 430
PORTLAND, OR 97225
Specialist
9155 SW BARNES RD, SUITE 430
PORTLAND, OR 97225
Clinic/Center
9155 SW BARNES RD, SUITE 240
PORTLAND, OR 97225
Thoracic Surgery (Cardiothoracic Vascular Surgery)
9155 SW BARNES RD, STE 240
PORTLAND, OR 97225
Physician Assistant (Surgical)
9155 SW BARNES RD, SUITE 240
PORTLAND, OR 97225

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639383466, enumerated as an "organization" on May 10, 2007.

The provider is located at 9155 SW BARNES RD SUITE 931 PORTLAND, OR 97225 and the phone number is (503) 206-3636.

Pediatrics with taxonomy code 2080P0205X and a focus in Pediatric Endocrinology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.