OCCUPATIONAL HEALTH SERVICES RONCLER ACRES 4
NPI 1700526092
Clinic/Center - Multi-Specialty in Hillsboro, OR

NPI Status: Active since April 01, 2022

Contact Information

2501 NE CENTURY BLVD
HILLSBORO, OR
ZIP 97124
Phone: (502) 613-6266
Fax: (503) 214-5886

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 38D2258653
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-24-2028

About OCCUPATIONAL HEALTH SERVICES RONCLER ACRES 4

This page provides the complete NPI Profile along with additional information for Occupational Health Services Roncler Acres 4, a provider established in Hillsboro, Oregon operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1700526092 assigned on April 2022. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Occupational Health Services Roncler Acres 4. The authorized official of this NPI record is Jonathan Leizman (President)

NPI
1700526092
Provider Legal Name
PREMISE HEALTH OF OREGON MEDICAL P C
Other Organization Name
OCCUPATIONAL HEALTH SERVICES RONCLER ACRES 4
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2501 NE CENTURY BLVD HILLSBORO, OR 97124
Location Phone
(502) 613-6266
Location Fax
(503) 214-5886
Mailing Address
5500 MARYLAND WAY STE 120 BRENTWOOD, TN 37027
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-01-2022
Last Update Date
10-13-2022
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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

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

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

JONATHAN LEIZMAN

Authorized Official Title
PRESIDENT
Authorized Official Phone
(216) 479-9063

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
38D2258653
Facility Type
Physician Office
Certificate Effective Date
April 25, 2026
Certificate Expiration Date
April 24, 2028
Laboratory Director
VASQUEZ PETER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Occupational Health Services Roncler Acres 4 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1700526092, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

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
7
Unchanged
Pos 3
0
Doubled → 0
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
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 0 → 0 5 → 10 → 1 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 0 + 0 + 1 + 0 + 2 + 1 + 2 + 0 + 1 + 8 + 24 = 48

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

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1700526092.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dental Hygienist
2501 NE CENTURY BLVD
HILLSBORO, OR 97124

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700526092, enumerated as an "organization" on April 01, 2022.

The provider is located at 2501 NE CENTURY BLVD HILLSBORO, OR 97124 and the phone number is (502) 613-6266.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.