SANDRA J YOUNGWORTH ANP
NPI 1114910122
Nurse Practitioner in Portland,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 24, 2005

Contact Information

3303 Sw Bond Ave Ste 7
Portland,
Post Code: 97239
Phone: (503) 494-6594
Fax: (503) 494-5385

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Sandra J Youngworth Anp in Portland - Nurse Practitioner

Sandra J Youngworth Anp is a Nurse Practitioner in Portland, . Sandra J Youngworth Anp practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Sandra J Youngworth Anp is 1114910122. The last update date is 2020-01-28.

Sandra J Youngworth Anp's current location address is 3303 Sw Bond Ave Ste 7, Portland, . You can contact this provider via phone number (503) 494-6594 and fax number (503) 494-5385. The mailing address for Sandra J Youngworth Anp is 3303 Sw Bond Ave Ste 7, Portland, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1114910122
Provider Name
SANDRA J YOUNGWORTH ANP
Gender
Female
Entity Type
Individual
Location Address
3303 Sw Bond Ave Ste 7, Portland,
Location Phone
(503) 494-6594
Location Fax
(503) 494-5385
Mailing Address
3303 Sw Bond Ave Ste 7, Portland, Oregon(OR)
Mailing Phone
503-494-6594
Mailing Fax
503-494-5385
Enumeration Date
2005-08-24
Last Update Date
2020-01-28
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

Nurse Practitioner

Taxonomy Code
363L00000X
Type
-
License No.
200550058NP
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 363L00000X Nurse Practitioner

Nurse Practitioner

AP30007006 (Washington)
2 363LA2200X Adult Health Nurse Practitioner

Nurse Practitioner, Adult Health

H156296 (Iowa)

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
P01543023 Other (non-Medicare) (01) Washington (WA) RR MEDICARE PTAN
P01628718 Other (non-Medicare) (01) Washington (WA) RR PTAN CWH

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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.
1114910122
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2124181014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2124181014
2 + 1 + 2 + 4 + 1 + 8 + 1 + 0 + 1 + 4 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 2 2

The NPI number 1114910122 is valid because the calculated check digit 2 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
1114909371 JEREMY M LAKE
Individual
Internal Medicine, Gastroenterology 232 SE 7TH AVE
HILLSBORO, Oregon (OR)
503-640-1614
1114908571 JULIE MCALLISTER
Individual
Physical Therapist 3140 NE DUNCKLEY ST
PORTLAND, Oregon (OR)
503-493-3525
1114907144 SABINE CLARA MEYER
Individual
Psychiatry & Neurology, Geriatric Psychiatry 12725 SW MILLIKAN WAY
BEAVERTON, Oregon (OR)
503-906-7970
1114906815 DANIEL SWINK SAGER
Individual
Internal Medicine, Rheumatology 1108 JUNE ST
HOOD RIVER, Oregon (OR)
541-387-6125
1114906682 THOMAS FARNEY
Individual
Surgery 740 E PINE AVE
HERMISTON, Oregon (OR)
541-567-8999