PERMANENTLY CLOSED
NPI 1801232483
Specialist/Technologist, Other - Surgical Technologist in Gresham, OR

NPI Status: Active since May 22, 2013

Contact Information

1026 NW SLERET AVE
GRESHAM, OR
ZIP 97030
Phone: (503) 246-6666
Fax: (503) 246-9465

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  • Organization
  • Specialist/Technologist, Other
  • Surgical Technologist
  • CLIA Number: 38D2060709
  • CLIA Cert. Type: Other - RADIOLOGY MOBILE
  • CLIA Exp. Date: 06-16-2027

About PERMANENTLY CLOSED

This page provides the complete NPI Profile along with additional information for Permanently Closed, a provider established in Gresham, Oregon operating as a Specialist/technologist, Other, focusing in surgical technologist . The healthcare provider is registered in the NPI registry with number 1801232483 assigned on May 2013. The practitioner's primary taxonomy code is 246ZS0410X with license number MD00038333 (WA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Permanently Closed. The authorized official of this NPI record is Mr. Shaun Usher (Operations Manager)

NPI
1801232483
Provider Legal Name
OPEN ADVANCED MRI OF GRESHAM PS
Other Organization Name
PERMANENTLY CLOSED
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1026 NW SLERET AVE GRESHAM, OR 97030
Location Phone
(503) 246-6666
Location Fax
(503) 246-9465
Mailing Address
9370 SW GREENBURG RD STE J PORTLAND, OR 97223
Mailing Phone
(503) 246-6666
Mailing Fax
(503) 246-9465
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-22-2013
Last Update Date
08-17-2021
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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

Specialist/Technologist, Other Surgical Technologist

Taxonomy Code
246ZS0410X
Type
Technologists, Technicians & Other Technical Service Providers
License No.
MD00038333
License State
WA
Taxonomy Description
Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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.

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

MR. SHAUN USHER

Authorized Official Title
OPERATIONS MANAGER
Authorized Official Phone
(503) 246-6666

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
PERMANENTLY-CLOSEDOTHER (01)WAPERMANENTLY CLOSED
PERMANENTLY-CLOSEDOTHER (01)ORPERMANENTLY CLOSED

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
38D2060709
Facility Type
Other - RADIOLOGY MOBILE
Certificate Effective Date
June 17, 2025
Certificate Expiration Date
June 16, 2027
Laboratory Director
ANTHONY E LARHS MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Permanently Closed 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.

Reviews for PERMANENTLY CLOSED

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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 1801232483, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 0 + 1 + 4 + 3 + 4 + 4 + 1 + 6 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1801232483.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
1026 NW SLERET AVE
GRESHAM, OR 97030
Clinic/Center (Magnetic Resonance Imaging (MRI))
1026 NW SLERET AVE
GRESHAM, OR 97030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801232483, enumerated as an "organization" on May 22, 2013.

The provider is located at 1026 NW SLERET AVE GRESHAM, OR 97030 and the phone number is (503) 246-6666.

Specialist/Technologist, Other with taxonomy code 246ZS0410X and a focus in Surgical Technologist.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.