NICOLE MARIE MCDANIEL PT
NPI 1104826601
Specialist in Portland,


Quality Rating: 100 out of 100 score

NPI Status: Active since July 26, 2005

Contact Information

530 Nw 23rd Ave
Portland,
Post Code: 97210
Phone: (971) 258-0995
Fax: (844) 364-4344

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Nicole Marie Mcdaniel Pt in Portland - Specialist

Nicole Marie Mcdaniel Pt is a Specialist in Portland, . Nicole Marie Mcdaniel Pt practices all healthcare services and medical treatments related to Specialist. The NPI Number for Nicole Marie Mcdaniel Pt is 1104826601. The last update date is 2017-02-20.

Nicole Marie Mcdaniel Pt's current location address is 530 Nw 23rd Ave, Portland, . You can contact this provider via phone number (971) 258-0995 and fax number (844) 364-4344. The mailing address for Nicole Marie Mcdaniel Pt is 530 Nw 23rd Ave, Portland, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1104826601
Provider Name
NICOLE MARIE MCDANIEL PT
Gender
Female
Entity Type
Individual
Location Address
530 Nw 23rd Ave, Portland,
Location Phone
(971) 258-0995
Location Fax
(844) 364-4344
Mailing Address
530 Nw 23rd Ave, Portland, Oregon(OR)
Mailing Phone
971-258-0995
Mailing Fax
844-364-4344
Enumeration Date
2005-07-26
Last Update Date
2017-02-20
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

Specialist

Taxonomy Code
174400000X
Type
-
License No.
5138
License State
Oregon (OR)
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
17657385 MEDICAID (05) New Mexico (NM)
2914 Other (non-Medicare) (01) New Mexico (NM) State of NM Reg & Licens.

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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.
1104826601
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21041621260
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 21041621260
2 + 1 + 0 + 4 + 1 + 6 + 2 + 1 + 2 + 6 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 1 1

The NPI number 1104826601 is valid because the calculated check digit 1 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
1104826205 JAMES O NELSON
Individual
Physical Medicine & Rehabilitation 2200 NE NEFF RD
BEND, Oregon (OR)
541-382-3344
1104825942 CYNTHIA A. LAYPORT
Individual
Dentist, Periodontics 15018 SW TELLURIDE TER
BEAVERTON, Oregon (OR)
503-646-6100
1104825827 JOHN H HOHENGARTEN
Individual
Specialist 3000 BRYANT WILLIAMS DRIVE
KLAMATH FALLS, Oregon (OR)
541-274-3000
1104825645 DAVID SAENGER
Individual
Internal Medicine, Cardiovascular Disease PO BOX 24410
EUGENE, Oregon (OR)
1104825363 MARK E. JENSEN
Individual
Dentist, General Practice 199 SW SHEVLIN HIXON DR
BEND, Oregon (OR)
541-330-5952