PORTLAND DETOX
NPI 1649412511
Substance Abuse Rehabilitation Facility in Portland, OR

NPI Status: Active since March 24, 2009

Contact Information

11160 SW WAVERLY PL
PORTLAND, OR
ZIP 97225
Phone: (503) 750-6238

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  • Organization
  • Substance Abuse Rehabilitation Facility

About PORTLAND DETOX

This page provides the complete NPI Profile along with additional information for Portland Detox, a provider established in Portland, Oregon operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1649412511 assigned on March 2009. The practitioner's primary taxonomy code is 324500000X with license number AC01151 (OR). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Brad Whisnant Lac (Owner)

NPI
1649412511
Provider Name
PORTLAND DETOX
Entity Type
Organization
Location Address
11160 SW WAVERLY PL PORTLAND, OR 97225
Location Phone
(503) 750-6238
Mailing Address
11160 SW WAVERLY PL PORTLAND, OR 97225
Mailing Phone
(503) 750-6238
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-24-2009
Last Update Date
03-24-2009
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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

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
License No.
AC01151
License State
OR
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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

BRAD WHISNANT LAC

Authorized Official Title
OWNER
Authorized Official Phone
(503) 750-6238

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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 1649412511, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 8 + 9 + 8 + 1 + 4 + 5 + 2 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1649412511.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649412511, enumerated as an "organization" on March 24, 2009.

The provider is located at 11160 SW WAVERLY PL PORTLAND, OR 97225 and the phone number is (503) 750-6238.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.