MS. MICHELLE MEILANIE HARSONO PA-C
NPI 1689966806
Physician Assistant - Surgical in Portland, OR

NPI Status: Active since May 05, 2011

Contact Information

501 N GRAHAM ST
SUITE 420
PORTLAND, OR
ZIP 97227
Phone: (503) 288-7303
Fax: (503) 288-3806

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  • Individual
  • Female
  • Physician Assistant
  • Surgical
  • Accepts Insurance

About MICHELLE HARSONO

This page provides the complete NPI Profile along with additional information for Michelle Harsono, a provider established in Portland, Oregon with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1689966806 assigned on May 2011. The practitioner's primary taxonomy code is 363AS0400X with license number PA155408 (OR). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1689966806
Provider Name
MS. MICHELLE MEILANIE HARSONO PA-C
Gender
Female
Entity Type
Individual
Location Address
501 N GRAHAM ST SUITE 420 PORTLAND, OR 97227
Location Phone
(503) 288-7303
Location Fax
(503) 288-3806
Mailing Address
847 NE 19TH AVE SUITE 300 PORTLAND, OR 97232
Mailing Phone
(503) 963-2801
Mailing Fax
(503) 288-3806
Is Sole Proprietor?
No
Enumeration Date
05-05-2011
Last Update Date
10-05-2015
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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

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA155408
License State
OR

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)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
2363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

PA155408 (OR)

Insurance Plans Accepted

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

  • Connect 1500 Gold - EPO
  • Connect 6000 Silver - EPO
  • Connect 9800 Bronze - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

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.

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
500641881MEDICAID (05)OR 
P01501040MEDICARE PIN (08)OR 
180745MEDICARE PIN (08)OR 

Reviews for MS. MICHELLE MEILANIE HARSONO PA-C

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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 1689966806, 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
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
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 8 → 16 → 7 9 → 18 → 9 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 6 + 9 + 1 + 8 + 6 + 1 + 2 + 8 + 0 + 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 1689966806.

Other Providers at the Same Location


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

Specialist
501 N GRAHAM ST, SUITE 525
PORTLAND, OR 97227
Specialist
501 N GRAHAM ST, SUITE 525
PORTLAND, OR 97227
Pediatrics (Pediatric Cardiology)
501 N GRAHAM ST, #220
PORTLAND, OR 97227
Pediatrics (Pediatric Cardiology)
501 N GRAHAM ST, #220
PORTLAND, OR 97227
Physician Assistant
501 N GRAHAM ST, SUITE 415
PORTLAND, OR 97227
Surgery (Vascular Surgery)
501 N GRAHAM ST, SUITE 415
PORTLAND, OR 97227
Nurse Practitioner (Pediatrics)
501 N GRAHAM ST, SUITE 355
PORTLAND, OR 97227
Pediatrics (Pediatric Endocrinology)
501 N GRAHAM ST, SUITE 375
PORTLAND, OR 97227
Internal Medicine
501 N GRAHAM ST, STE 100
PORTLAND, OR 97227
Pediatrics (Pediatric Pulmonology)
501 N GRAHAM ST, SUITE 320
PORTLAND, OR 97227
Orthopaedic Surgery
501 N GRAHAM ST, SUITE 200
PORTLAND, OR 97227
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
501 N GRAHAM ST, SUITE 200
PORTLAND, OR 97227
Orthopaedic Surgery
501 N GRAHAM ST, SUITE 200
PORTLAND, OR 97227
Physician Assistant
501 N GRAHAM ST, SUITE 200
PORTLAND, OR 97227
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
501 N GRAHAM ST, SUITE 330
PORTLAND, OR 97227
Pediatrics (Pediatric Endocrinology)
501 N GRAHAM ST, SUITE 375
PORTLAND, OR 97227
Specialist
501 N GRAHAM ST, SUITE 580
PORTLAND, OR 97227
Podiatrist (Foot & Ankle Surgery)
501 N GRAHAM ST, SUITE 415
PORTLAND, OR 97227
Specialist
501 N GRAHAM ST, SUITE 525
PORTLAND, OR 97227
Pediatrics (Neonatal-Perinatal Medicine)
501 N GRAHAM ST, SUITE 265
PORTLAND, OR 97227

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689966806, enumerated as an "individual" on May 05, 2011.

The provider is located at 501 N GRAHAM ST SUITE 420 PORTLAND, OR 97227 and the phone number is (503) 288-7303.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

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