JONATHAN REUEL VAN HORN PAC
NPI 1992798060
Physician Assistant, Surgical in Portland,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 24, 2005

Contact Information

300 N Graham St Ste 125
Portland,
Post Code: 97227
Phone: (503) 413-3714
Fax: (503) 413-2061

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Jonathan Reuel Van Horn Pac in Portland - Physician Assistant, Surgical

Jonathan Reuel Van Horn Pac is a Physician Assistant, Surgical in Portland, . Jonathan Reuel Van Horn Pac practices all healthcare services and medical treatments related to Physician Assistant, Surgical. The NPI Number for Jonathan Reuel Van Horn Pac is 1992798060. The last update date is 2019-11-19.

Jonathan Reuel Van Horn Pac's current location address is 300 N Graham St Ste 125, Portland, . You can contact this provider via phone number (503) 413-3714 and fax number (503) 413-2061. The mailing address for Jonathan Reuel Van Horn Pac is 300 N Graham St Ste 125, Portland, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1992798060
Provider Name
JONATHAN REUEL VAN HORN PAC
Gender
Male
Entity Type
Individual
Location Address
300 N Graham St Ste 125, Portland,
Location Phone
(503) 413-3714
Location Fax
(503) 413-2061
Mailing Address
Po Box 3777, Portland, Oregon(OR)
Mailing Phone
Mailing Fax
-
Enumeration Date
2005-08-24
Last Update Date
2019-11-19
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

Physician Assistant

Taxonomy Code
363A00000X
Type
-
License No.
PA00833
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 363AS0400X Surgical Physician Assistant

Physician Assistant, Surgical

PA00833 (Oregon)
2 363AS0400X Surgical Physician Assistant

Physician Assistant, Surgical

PA10004741 (Washington)

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
500600859 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.
1992798060
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2918214916012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2918214916012
2 + 9 + 1 + 8 + 2 + 1 + 4 + 9 + 1 + 6 + 0 + 1 + 2 + 24 = 70
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
0

The NPI number 1992798060 is valid because the calculated check digit 0 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
1992797039 CYNTHIA ANN BOHAN
Individual
Physician Assistant, Surgical 975 SE SANDY BLVD
PORTLAND, Oregon (OR)
503-963-2846
1992796668 ARMANDO JERRY ZELADA
Individual
Optometrist 2480 NE FREMONT ST
PORTLAND, Oregon (OR)
503-284-3937
1992796486 JOHN A. BACON
Individual
Social Worker, Clinical 525 SW 6TH ST
CORVALLIS, Oregon (OR)
541-752-0834
1992796452 EUGENE PHYSICAL THERAPY, LLC
Organization
Physical Therapist 54 OAKWAY CTR
EUGENE, Oregon (OR)
541-687-7005
1992796031 ANDREA ELIZABETH HUGHBANKS
Individual
Physical Therapist 2250 NW FLANDERS ST
PORTLAND, Oregon (OR)
503-224-1947