PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1679697247
Psychologist - Cognitive & Behavioral in Portland, OR

NPI Status: Active since March 19, 2007

Contact Information

9155 SW BARNES RD
SUITE 317
PORTLAND, OR
ZIP 97225
Phone: (503) 216-1150

Get Directions Write a Review

  • Organization
  • Psychologist
  • Cognitive & Behavioral

About PROVIDENCE HEALTH & SERVICES - OREGON

This page provides the complete NPI Profile along with additional information for Providence Health & Services - Oregon, a provider established in Portland, Oregon operating as a Psychologist, focusing in cognitive & behavioral . The healthcare provider is registered in the NPI registry with number 1679697247 assigned on March 2007. The practitioner's primary taxonomy code is 103TB0200X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Donald Wayne Anderson Jr. (Assistant Secreatry For Enrollment)

NPI
1679697247
Provider Legal Name
PROVIDENCE HEALTH & SERVICES - OREGON
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
9155 SW BARNES RD SUITE 317 PORTLAND, OR 97225
Location Phone
(503) 216-1150
Mailing Address
PO BOX 31001 - 4180 PASADENA, CA 91110
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-19-2007
Last Update Date
07-04-2025
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

Psychologist Cognitive & Behavioral

Taxonomy Code
103TB0200X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

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)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 

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

DONALD WAYNE ANDERSON JR.

Authorized Official Title
ASSISTANT SECREATRY FOR ENROLLMENT
Authorized Official Phone
(425) 358-9786

Reviews for PROVIDENCE HEALTH & SERVICES - OREGON

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1679697247, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

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
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
7
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 7 → 14 → 5 6 → 12 → 3 7 → 14 → 5 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 4 + 9 + 1 + 2 + 9 + 1 + 4 + 2 + 8 + 24 = 73

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

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1679697247.

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 1679697247, enumerated as an "organization" on March 19, 2007.

The provider is located at 9155 SW BARNES RD SUITE 317 PORTLAND, OR 97225 and the phone number is (503) 216-1150.

Psychologist with taxonomy code 103TB0200X and a focus in Cognitive & Behavioral.