PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1699804336
Psychiatry & Neurology - Neurology in Portland, OR

NPI Status: Active since March 05, 2007

Contact Information

9427 SW BARNES RD
SUITE 595
PORTLAND, OR
ZIP 97225
Phone: (503) 216-1150
Fax: (503) 216-1066

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  • Organization
  • Psychiatry & Neurology
  • Neurology
  • CLIA Number: 38D0624944
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 12-31-2025

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 Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1699804336 assigned on March 2007. The practitioner's primary taxonomy code is 2084N0400X. 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 Secretary Enrollment)

NPI
1699804336
Provider Legal Name
PROVIDENCE HEALTH & SERVICES - OREGON
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
9427 SW BARNES RD SUITE 595 PORTLAND, OR 97225
Location Phone
(503) 216-1150
Location Fax
(503) 216-1066
Mailing Address
PO BOX 31001 - 4180 PASADENA, CA 91110
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-05-2007
Last Update Date
06-30-2025
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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

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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 SECRETARY ENROLLMENT
Authorized Official Phone
(425) 358-9786

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
38D0624944
Facility Type
Hospital
Certificate Effective Date
January 01, 2024
Certificate Expiration Date
December 31, 2025
Laboratory Director
DR. ALLAN SACKER
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Providence Health & Services - Oregon on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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 1699804336, 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
9
Doubled → 18 → 1 + 8
Pos 4
9
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
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 9 → 18 → 9 8 → 16 → 7 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 8 + 9 + 1 + 6 + 0 + 8 + 3 + 6 + 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 1699804336.

Other Providers at the Same Location


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

Dermatology
9427 SW BARNES RD, SUITE 495
PORTLAND, OR 97225
Dermatology
9427 SW BARNES RD, SUITE 495
PORTLAND, OR 97225
Psychiatry & Neurology (Neurology)
9427 SW BARNES RD, SUITE 595
PORTLAND, OR 97225
Internal Medicine
9427 SW BARNES RD, SUITE 590
PORTLAND, OR 97225
Nurse Practitioner (Family)
9427 SW BARNES RD, SUITE 395
PORTLAND, OR 97225
Psychiatry & Neurology (Neurology)
9427 SW BARNES RD, SUITE 595
PORTLAND, OR 97225
Internal Medicine (Cardiovascular Disease)
9427 SW BARNES RD, STE 498
PORTLAND, OR 97225
Specialist
9427 SW BARNES RD, STE 498
PORTLAND, OR 97225
Specialist
9427 SW BARNES RD, STE 498
PORTLAND, OR 97225
Obstetrics & Gynecology
9427 SW BARNES RD, SUITE 395
PORTLAND, OR 97225
Obstetrics & Gynecology
9427 SW BARNES RD, SUITE 395
PORTLAND, OR 97225
Surgery (Pediatric Surgery)
9427 SW BARNES RD, SUITE 598
PORTLAND, OR 97225
Nurse Practitioner (Obstetrics & Gynecology)
9427 SW BARNES RD, SUITE 395
PORTLAND, OR 97225
Obstetrics & Gynecology
9427 SW BARNES RD, SUITE 395
PORTLAND, OR 97225
Obstetrics & Gynecology
9427 SW BARNES RD, SUITE 395
PORTLAND, OR 97225
Surgery
9427 SW BARNES RD
PORTLAND, OR 97225
Podiatrist (Foot & Ankle Surgery)
9427 SW BARNES RD
PORTLAND, OR 97225
Specialist
9427 SW BARNES RD
PORTLAND, OR 97225
Physician Assistant
9427 SW BARNES RD
PORTLAND, OR 97225
Psychiatry & Neurology (Neurology)
9427 SW BARNES RD
PORTLAND, OR 97225

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699804336, enumerated as an "organization" on March 05, 2007.

The provider is located at 9427 SW BARNES RD SUITE 595 PORTLAND, OR 97225 and the phone number is (503) 216-1150.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.