JOHN MICHAEL RUSSELL PMHNP
NPI 1801804935
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

NPI Status: Active since August 04, 2006

Contact Information

12732 SE STARK ST
PORTLAND, OR
ZIP 97233
Phone: (503) 514-1264

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  • Individual
  • Male
  • Nurse Practitioner
  • Psychiatric/Mental Health

About JOHN RUSSELL

This page provides the complete NPI Profile along with additional information for John Russell, a provider established in Portland, Oregon with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1801804935 assigned on August 2006. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1801804935
Provider Name
JOHN MICHAEL RUSSELL PMHNP
Other Name
JACK RUSSELL PMHNP
Other Name Type
Professional Name (2)
Gender
Male
Entity Type
Individual
Location Address
12732 SE STARK ST PORTLAND, OR 97233
Location Phone
(503) 514-1264
Mailing Address
12732 SE STARK ST PORTLAND, OR 97233
Is Sole Proprietor?
Yes
Enumeration Date
08-04-2006
Last Update Date
07-26-2007
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A nurse practitioner (NP) like John Russell is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License State
OR

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1801804935
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2801160896
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 0 + 1 + 1 + 6 + 0 + 8 + 9 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1801804935 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

MR. DALE A. NADER L.C.S.W.

Social Worker

(Clinical)

12732 SE STARK ST
PLAZA 125, BUILDING G
PORTLAND, OR
ZIP 97233

(503) 708-9853

MAYA MARTINEZ LAC

Acupuncturist

12732 SE STARK ST
PLAZA 125 BUILDING G
PORTLAND, OR
ZIP 97233

(503) 844-2715

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801804935, enumerated as an "individual" on August 04, 2006.

The provider is located at 12732 SE STARK ST PORTLAND, OR 97233 and the phone number is (503) 514-1264.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.