PROVIDENCE HEALTH SYSTEM
NPI 1770776387
Nursing Facility/Intermediate Care Facility in Portland, OR

NPI Status: Active since August 27, 2007

Contact Information

4805 NE GLISAN ST
PORTLAND, OR
ZIP 97213
Phone: (503) 215-1111

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About PROVIDENCE HEALTH SYSTEM

This page provides the complete NPI Profile along with additional information for Providence Health System, a provider established in Portland, Oregon operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1770776387 assigned on August 2007. The practitioner's primary taxonomy code is 313M00000X with license number 09000464RN (OR). The provider is registered as an organization and their NPI record was last updated 19 years ago. The provider's other name is Providence Health System. The authorized official of this NPI record is Mrs. Terri Lynn Eells (Rn/nurse Practitioner Student)

NPI
1770776387
Provider Legal Name
PROVIDENCE PORLAND MEDICAL CENTER
Other Organization Name
PROVIDENCE HEALTH SYSTEM
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
4805 NE GLISAN ST PORTLAND, OR 97213
Location Phone
(503) 215-1111
Mailing Address
312 ENGLE AVE MOLALLA, OR 97038
Mailing Phone
(150) 335-1019
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-27-2007
Last Update Date
08-27-2007
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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

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
License No.
09000464RN
License State
OR
Taxonomy Description
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

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

MRS. TERRI LYNN EELLS

Authorized Official Title
RN/NURSE PRACTITIONER STUDENT
Authorized Official Phone

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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 1770776387, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
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 7 → 14 → 5 7 → 14 → 5 6 → 12 → 3 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 4 + 0 + 1 + 4 + 7 + 1 + 2 + 3 + 1 + 6 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1770776387.

Other Providers at the Same Location


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

Internal Medicine
4805 NE GLISAN ST, SUITE BG05
PORTLAND, OR 97213
Internal Medicine (Medical Oncology)
4805 NE GLISAN ST, 6N40
PORTLAND, OR 97213
Registered Nurse (General Practice)
4805 NE GLISAN ST, 3E
PORTLAND, OR 97213
Internal Medicine
4805 NE GLISAN ST, SUITE BG05
PORTLAND, OR 97213
Internal Medicine
4805 NE GLISAN ST, SUITE BG05
PORTLAND, OR 97213
Internal Medicine
4805 NE GLISAN ST, BG05
PORTLAND, OR 97213
Psychiatry & Neurology (Psychiatry)
4805 NE GLISAN ST, 5L
PORTLAND, OR 97213
Registered Nurse
4805 NE GLISAN ST
PORTLAND, OR 97213
Psychiatry & Neurology (Psychiatry)
4805 NE GLISAN ST, 3E
PORTLAND, OR 97213
Personal Emergency Response Attendant
4805 NE GLISAN ST
PORTLAND, OR 97213
Nurse Practitioner (Family)
4805 NE GLISAN ST
PORTLAND, OR 97213
Nurse Practitioner (Family)
4805 NE GLISAN ST
PORTLAND, OR 97213
Nurse Anesthetist, Certified Registered
4805 NE GLISAN ST, PROVIDENCE PORTLAND MEDICAL CENTER
PORTLAND, OR 97213
Nurse Practitioner (Adult Health)
4805 NE GLISAN ST, STE 6N50
PORTLAND, OR 97213
Emergency Medicine
4805 NE GLISAN ST
PORTLAND, OR 97213
Emergency Medicine
4805 NE GLISAN ST
PORTLAND, OR 97213
Emergency Medicine
4805 NE GLISAN ST
PORTLAND, OR 97213
Emergency Medicine
4805 NE GLISAN ST
PORTLAND, OR 97213
Emergency Medicine
4805 NE GLISAN ST
PORTLAND, OR 97213
Emergency Medicine
4805 NE GLISAN ST
PORTLAND, OR 97213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770776387, enumerated as an "organization" on August 27, 2007.

The provider is located at 4805 NE GLISAN ST PORTLAND, OR 97213 and the phone number is (503) 215-1111.

Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.