WILLAMETTE VALLEY TREATMENT CENTER
NPI 1730636762
Licensed Practical Nurse in Salem, OR
NPI Status: Active since September 07, 2016
Contact Information
3871 FAIRVIEW INDUSTRIAL DR SE
SALEM, OR
ZIP 97302
Phone: (503) 391-9762
- Organization
- Licensed Practical Nurse
- CLIA Number: 38D0625580
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-28-2026
About WILLAMETTE VALLEY TREATMENT CENTER
This page provides the complete NPI Profile along with additional information for Willamette Valley Treatment Center, a provider established in Salem, Oregon operating as a Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1730636762 assigned on September 2016. The practitioner's primary taxonomy code is 164W00000X with license number 201601769LPN (OR). The provider is registered as an organization and their NPI record was last updated 10 years ago. Willamette Valley Treatment Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Jobail Navida Labilles (Lpn)
- NPI
- 1730636762
- Provider Name
- WILLAMETTE VALLEY TREATMENT CENTER
- Entity Type
- Organization
- Location Address
- 3871 FAIRVIEW INDUSTRIAL DR SE SALEM, OR 97302
- Location Phone
- (503) 391-9762
- Mailing Address
- 3513 SILVERPARK PL NE SALEM, OR 97305
- Mailing Phone
- (541) 974-1010
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-07-2016
- Last Update Date
- 09-07-2016
- 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
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 201601769LPN
- License State
- OR
- Taxonomy Description
- A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 38D0625580
- Facility Type
- Physician Office
- Certificate Effective Date
- May 29, 2024
- Certificate Expiration Date
- May 28, 2026
- Laboratory Director
- LISA RICE
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Willamette Valley Treatment Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1730636762, 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 18 providers are registered at the same or a nearby location.
SALEM, OR 97302
SALEM, OR 97302
SALEM, OR 97302
SALEM, OR 97302
SALEM, OR 97302
SALEM, OR 97302
SALEM, OR 97302
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730636762, enumerated as an "organization" on September 07, 2016.
The provider is located at 3871 FAIRVIEW INDUSTRIAL DR SE SALEM, OR 97302 and the phone number is (503) 391-9762.
Licensed Practical Nurse with taxonomy code 164W00000X.
