MAXEM HEALTH URGENT CARE LAKE OSWEGO
NPI 1902478225
Clinic/Center - Urgent Care in Lake Oswego, OR
NPI Status: Active since July 15, 2021
Contact Information
17437 BOONES FERRY RD STE 100
LAKE OSWEGO, OR
ZIP 97035
Phone: (707) 319-5068
- Organization
- Clinic/Center
- Urgent Care
- Accepts Insurance
- CLIA Number: 38D2270205
- CLIA Cert. Type: Other - URGENT CARE
- CLIA Exp. Date: 10-10-2026
About MAXEM HEALTH URGENT CARE LAKE OSWEGO
This page provides the complete NPI Profile along with additional information for Maxem Health Urgent Care Lake Oswego, a provider established in Lake Oswego, Oregon operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1902478225 assigned on July 2021. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Brianne Whitney (Ceo/president)
- NPI
- 1902478225
- Provider Name
- MAXEM HEALTH URGENT CARE LAKE OSWEGO
- Entity Type
- Organization
- Location Address
- 17437 BOONES FERRY RD STE 100 LAKE OSWEGO, OR 97035
- Location Phone
- (707) 319-5068
- Mailing Address
- PO BOX 1248 OCEAN SPRINGS, MS 39566
- Mailing Phone
- (707) 319-5068
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-15-2021
- Last Update Date
- 11-13-2022
- Code Navigator
Location Map
Secondary Locations
- 10582 SE 32nd Ave
Milwaukie, OR 97222
(503) 344-6432
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
Clinic/Center Urgent Care
- Taxonomy Code
- 261QU0200X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Bronze 8000 Individual Connect - EPO
- Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
- Bronze HSA 7000 Individual Connect - EPO
- Gold 2300 Individual Connect - EPO
- Regence Standard Bronze Plan Individual Connect - EPO
- Regence Standard Gold Plan Individual Connect - EPO
- Regence Standard Silver Plan Individual Connect - EPO
- Silver 6500 Individual Connect - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 38D2270205
- Facility Type
- Other - URGENT CARE
- Certificate Effective Date
- October 11, 2024
- Certificate Expiration Date
- October 10, 2026
- Laboratory Director
- RONNIE ALI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Maxem Health Urgent Care Lake Oswego 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 1902478225, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
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 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
LAKE OSWEGO, OR 97035
LAKE OSWEGO, OR 97035
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902478225, enumerated as an "organization" on July 15, 2021.
The provider is located at 17437 BOONES FERRY RD STE 100 LAKE OSWEGO, OR 97035 and the phone number is (707) 319-5068.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
The provider might be accepting Accepts: BridgeSpan Health Company and Regence BlueCross. Please consult your insurance carrier or call the provider to verify.