PROVIDENCE ELDER PLACE PORTLAND
NPI 1023098118
Clinic/center, Multi-specialty in Portland,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 17, 2006

Contact Information

13007 Ne Glisan St
Portland,
Post Code: 97230
Phone: (503) 215-6556
Fax: (503) 215-0685

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Providence Elder Place Portland in Portland - Clinic/Center, Multi-Specialty

Providence Elder Place Portland is a Clinic/Center, Multi-Specialty in Portland, . Providence Elder Place Portland practices all healthcare services and medical treatments related to Clinic/Center, Multi-Specialty. The NPI Number for Providence Elder Place Portland is 1023098118. The last update date is 2020-08-22.

Providence Elder Place Portland's current location address is 13007 Ne Glisan St, Portland, . You can contact this provider via phone number (503) 215-6556 and fax number (503) 215-0685. The mailing address for Providence Elder Place Portland is 13007 Ne Glisan St, Portland, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1023098118
Provider Legal Name
PROVIDENCE HEALTH SYSTEM OREGON
Other Organization Name
PROVIDENCE ELDER PLACE PORTLAND
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
13007 Ne Glisan St, Portland,
Location Phone
(503) 215-6556
Location Fax
(503) 215-0685
Mailing Address
4540 Ne Glisan St, Portland, Oregon(OR)
Mailing Phone
503-215-3738
Mailing Fax
503-215-6942
Enumeration Date
2006-01-17
Last Update Date
2020-08-22
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, Multi-Specialty

Taxonomy Code
261QM1300X
Type
-
License No.
-
License State
-
Taxonomy Description
-

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
005673 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.
1023098118
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2043091612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2043091612
2 + 0 + 4 + 3 + 0 + 9 + 1 + 6 + 1 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 8 8

The NPI number 1023098118 is valid because the calculated check digit 8 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