NARA NW-RESIDENTIAL TREATMENT CENTER
NPI 1023007093
Clinic/center, Federally Qualified Health Center (fqhc) in Portland,


Quality Rating: 100 out of 100 score

NPI Status: Active since October 20, 2005

Contact Information

17645 Nw Saint Helens Rd
Portland,
Post Code: 97231
Phone: (503) 621-1069
Fax: (503) 621-0200

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Nara Nw-residential Treatment Center in Portland - Clinic/Center, Federally Qualified Health Center (FQHC)

Nara Nw-residential Treatment Center is a Clinic/Center, Federally Qualified Health Center (FQHC) in Portland, . Nara Nw-residential Treatment Center practices all healthcare services and medical treatments related to Clinic/Center, Federally Qualified Health Center (FQHC). The NPI Number for Nara Nw-residential Treatment Center is 1023007093. The last update date is 2024-12-27.

Nara Nw-residential Treatment Center's current location address is 17645 Nw Saint Helens Rd, Portland, . You can contact this provider via phone number (503) 621-1069 and fax number (503) 621-0200. The mailing address for Nara Nw-residential Treatment Center is 17645 Nw Saint Helens Rd, Portland, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1023007093
Provider Legal Name
NATIVE AMERICAN REHABILITATION ASSOC INC
Other Organization Name
NARA NW-RESIDENTIAL TREATMENT CENTER
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
17645 Nw Saint Helens Rd, Portland,
Location Phone
(503) 621-1069
Location Fax
(503) 621-0200
Mailing Address
211 Se Caruthers St, Portland, Oregon(OR)
Mailing Phone
503-224-1044
Mailing Fax
971-260-0355
Enumeration Date
2005-10-20
Last Update Date
2024-12-27
Code Navigator

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, Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
-
License No.
700032
License State
Oregon (OR)
Taxonomy Description
-

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)
1 261QR0405X Substance Use Disorder Rehabilitation Clinic/Center

Clinic/Center, Rehabilitation, Substance Use Disorder

()

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
126370 MEDICAID (05) Oregon (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.
1023007093
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20430014018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 20430014018
2 + 0 + 4 + 3 + 0 + 0 + 1 + 4 + 0 + 1 + 8 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 3 3

The NPI number 1023007093 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013919323 JOHN ELLIS GOBBLE
Individual
Health Educator 6542 SE LAKE RD STE 202C
MILWAUKIE, Oregon (OR)
503-652-5070
1013911361 BRETT T QUAVE
Individual
Anesthesiology, Pain Medicine PO BOX 8153
MEDFORD, Oregon (OR)
541-494-1111
1013911601 LUIS EDUARDO LEYTON-GONZALEZ
Individual
Internal Medicine PEACEHEALTH HOSPITAL MEDICINE
SPRINGFIELD, Oregon (OR)
541-222-6389
1003810441 TIMOTHY J. GRAY
Individual
Family Medicine PO BOX 189
FOREST GROVE, Oregon (OR)
503-359-4773
1003811373 KEVIN J JAMISON
Individual
Psychiatry & Neurology, Neurology 1510 DIVISION ST STE 180
OREGON CITY, Oregon (OR)
503-742-6900