PROVIDENCE PORTLAND CANCER CENTER
NPI 1790168797
General Acute Care Hospital in Portland, OR
NPI Status: Active since July 08, 2015
Contact Information
4805 NE GLISAN ST
SUITE 6N60
PORTLAND, OR
ZIP 97213
Phone: (503) 215-3258
- Organization
- General Acute Care Hospital
- CLIA Number: 38D1065862
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 03-08-2027
About PROVIDENCE PORTLAND CANCER CENTER
This page provides the complete NPI Profile along with additional information for Providence Portland Cancer Center, a provider established in Portland, Oregon operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1790168797 assigned on July 2015. The practitioner's primary taxonomy code is 282N00000X with license number FE172129 (OR). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Donald W Anderson Jr. (Assistant Secretary Enrollments)
- NPI
- 1790168797
- Provider Name
- PROVIDENCE PORTLAND CANCER CENTER
- Entity Type
- Organization
- Location Address
- 4805 NE GLISAN ST SUITE 6N60 PORTLAND, OR 97213
- Location Phone
- (503) 215-3258
- Mailing Address
- 4805 NE GLISAN ST SUITE 6N60 PORTLAND, OR 97213
- Mailing Phone
- (503) 215-3258
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-08-2015
- Last Update Date
- 05-07-2025
- 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
General Acute Care Hospital
- Taxonomy Code
- 282N00000X
- Type
- Hospitals
- License No.
- FE172129
- License State
- OR
- Taxonomy Description
- An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
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
- 38D1065862
- Facility Type
- Home Health Agency
- Certificate Effective Date
- March 09, 2025
- Certificate Expiration Date
- March 08, 2027
- Laboratory Director
- STEPHANIE ORTIZ-GRABE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Providence Portland Cancer Center 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 1790168797, 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 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.
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 73 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PORTLAND, OR 97213
PORTLAND, OR 97213
PORTLAND, OR 97213
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790168797, enumerated as an "organization" on July 08, 2015.
The provider is located at 4805 NE GLISAN ST SUITE 6N60 PORTLAND, OR 97213 and the phone number is (503) 215-3258.
General Acute Care Hospital with taxonomy code 282N00000X.
