OHSU CHILD DEVELOPMENT & REHABILITATION CENTER
NPI 1972688919
Clinic/Center in Portland, OR

NPI Status: Active since October 26, 2006

Contact Information

707 SW GAINES ST
PORTLAND, OR
ZIP 97239
Phone: (503) 494-8716
Fax: (503) 494-2721

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  • Organization
  • Clinic/Center
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About OHSU CHILD DEVELOPMENT & REHABILITATION CENTER

This page provides the complete NPI Profile along with additional information for Ohsu Child Development & Rehabilitation Center, a provider established in Portland, Oregon operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1972688919 assigned on October 2006. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Ohsu Child Development & Rehabilitation Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Ohsu Child Development & Rehabilitation Center. The authorized official of this NPI record is Danny O. Jacobs (President)

NPI
1972688919
Provider Legal Name
OREGON HEALTH & SCIENCE UNIVERSITY
Other Organization Name
OHSU CHILD DEVELOPMENT & REHABILITATION CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
707 SW GAINES ST PORTLAND, OR 97239
Location Phone
(503) 494-8716
Location Fax
(503) 494-2721
Mailing Address
PO BOX 3595 PORTLAND, OR 97208
Mailing Phone
(503) 494-2709
Mailing Fax
(503) 494-2721
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-26-2006
Last Update Date
04-08-2022
Code Navigator



Ohsu Child Development & Rehabilitation Center is a medicare supplier with PTAN 21610047 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs.

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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208D00000XAllopathic & Osteopathic Physicians

General Practice

 
2333600000XSuppliers

Pharmacy

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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
  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - 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

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

DANNY O. JACOBS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(503) 494-8252

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
033472MEDICAID (05)OR 
500751932MEDICAID (05)OR 
1023615MEDICAID (05)WA 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
21610047
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs

Reviews for OHSU CHILD DEVELOPMENT & REHABILITATION CENTER

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1972688919, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 4 + 2 + 1 + 2 + 8 + 1 + 6 + 9 + 2 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1972688919.

Other Providers at the Same Location


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

Genetic Counselor, MS
707 SW GAINES ST, CHILD DEVELOPMENT & REHABILITATION CENTER
PORTLAND, OR 97239
Genetic Counselor, MS
707 SW GAINES ST, OHSU GENETICS
PORTLAND, OR 97239
Audiologist
707 SW GAINES ST
PORTLAND, OR 97239
Pediatrics (Pediatric Cardiology)
707 SW GAINES ST, CDRC-P
PORTLAND, OR 97239
Pediatrics
707 SW GAINES ST, CDRC 2220
PORTLAND, OR 97239
Pediatrics
707 SW GAINES ST
PORTLAND, OR 97239
Psychologist (Clinical)
707 SW GAINES ST
PORTLAND, OR 97239
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
707 SW GAINES ST, CDRC-P
PORTLAND, OR 97239
Psychologist (Clinical)
707 SW GAINES ST
PORTLAND, OR 97239
Speech-Language Pathologist
707 SW GAINES ST
PORTLAND, OR 97239
Occupational Therapy Assistant
707 SW GAINES ST
PORTLAND, OR 97239
Dietitian, Registered
707 SW GAINES ST
PORTLAND, OR 97239
Nurse Practitioner (Pediatrics)
707 SW GAINES ST
PORTLAND, OR 97239
Speech-Language Pathologist
707 SW GAINES ST
PORTLAND, OR 97239
Pediatrics (Pediatric Cardiology)
707 SW GAINES ST, CDRC-P
PORTLAND, OR 97239
Pediatrics (Neurodevelopmental Disabilities)
707 SW GAINES ST
PORTLAND, OR 97239
Pediatrics (Pediatric Cardiology)
707 SW GAINES ST, PEDIATRIC CARDIOLOGY, CDRC-P
PORTLAND, OR 97239
Nurse Practitioner (Pediatrics)
707 SW GAINES ST
PORTLAND, OR 97239
Medical Genetics (Clinical Genetics (M.D.))
707 SW GAINES ST
PORTLAND, OR 97239
Pediatrics (Pediatric Infectious Diseases)
707 SW GAINES ST
PORTLAND, OR 97239

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972688919, enumerated as an "organization" on October 26, 2006.

The provider is located at 707 SW GAINES ST PORTLAND, OR 97239 and the phone number is (503) 494-8716.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.