BROOKLEY VALENTINE HOLTER PAC
NPI 1710968375
Physician Assistant - Surgical in Portland, OR

NPI Status: Active since November 10, 2005

Contact Information

3101 SW SAM JACKSON PARK RD
SHRINER'S HOSPITAL FOR CHILDREN
PORTLAND, OR
ZIP 97239
Phone: (503) 221-3428
Fax: (503) 221-3490

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

About BROOKLEY HOLTER

This page provides the complete NPI Profile along with additional information for Brookley Holter, 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 1710968375 assigned on November 2005. The practitioner's primary taxonomy code is 363AS0400X with license number PA00818 (OR). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1710968375
Provider Name
BROOKLEY VALENTINE HOLTER PAC
Gender
Female
Entity Type
Individual
Location Address
3101 SW SAM JACKSON PARK RD SHRINER'S HOSPITAL FOR CHILDREN PORTLAND, OR 97239
Location Phone
(503) 221-3428
Location Fax
(503) 221-3490
Mailing Address
PO BOX 8500, LOCKBOX 7642 SHRINER'S HOSPITALS FOR CHILDREN PORTLAND PHILADELPHIA, PA 19178
Mailing Phone
(813) 281-8115
Mailing Fax
(503) 221-3490
Is Sole Proprietor?
Yes
Enumeration Date
11-10-2005
Last Update Date
12-14-2017
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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

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA00818
License State
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-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Signature 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.

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
P00186774OTHER (01)RR MEDICARE
0192176OTHER (01)WAWA LABOR INDUSTRIES
080727006OTHER (01)ORREGENCE BCBS

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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 1710968375, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
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 1 → 2 9 → 18 → 9 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 2 + 0 + 1 + 8 + 6 + 1 + 6 + 3 + 1 + 4 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1710968375.

Other Providers at the Same Location


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

Registered Nurse (Pediatrics)
3101 SW SAM JACKSON PARK RD, SHRINERS HOSPITAL FOR CHILDREN
PORTLAND, OR 97239
Occupational Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Physical Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Physical Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Occupational Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Occupational Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Physical Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Occupational Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Physical Therapy Assistant
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Physical Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Physical Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Physical Therapist (Pediatrics)
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Physical Therapist
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Physical Therapist (Pediatrics)
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Physical Therapy Assistant
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Anesthesiology
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Orthopaedic Surgery
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Orthopaedic Surgery
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Anesthesiology (Pediatric Anesthesiology)
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Social Worker
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710968375, enumerated as an "individual" on November 10, 2005.

The provider is located at 3101 SW SAM JACKSON PARK RD SHRINER'S HOSPITAL FOR CHILDREN PORTLAND, OR 97239 and the phone number is (503) 221-3428.

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

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