TIGARD HOLISTIC HEALTH CLINIC, LLC
NPI 1053670117
Clinic/Center in Tigard, OR

NPI Status: Active since May 10, 2012

Contact Information

11930 SW GREENBURG RD
TIGARD, OR
ZIP 97223
Phone: (503) 639-1712

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  • Organization
  • Clinic/Center

About TIGARD HOLISTIC HEALTH CLINIC, LLC

This page provides the complete NPI Profile along with additional information for Tigard Holistic Health Clinic, Llc, a provider established in Tigard, Oregon operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1053670117 assigned on May 2012. The practitioner's primary taxonomy code is 261Q00000X with license number 0855 (OR). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Stacey Lynn Raffety Nd (Owner)

NPI
1053670117
Provider Name
TIGARD HOLISTIC HEALTH CLINIC, LLC
Entity Type
Organization
Location Address
11930 SW GREENBURG RD TIGARD, OR 97223
Location Phone
(503) 639-1712
Mailing Address
11930 SW GREENBURG RD TIGARD, OR 97223
Mailing Phone
(503) 639-1712
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2012
Last Update Date
05-10-2012
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
0855
License State
OR
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. STACEY LYNN RAFFETY ND

Authorized Official Title
OWNER
Authorized Official Phone
(503) 639-1712

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
1003861493OTHER (01)ORNATUROPATHIC

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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.
1053670117
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20103127012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 1 + 2 + 7 + 0 + 1 + 2 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 77

The NPI number 1053670117 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003861493DR. STACEY LYNNE RAFFETY NE LAC
Individual
Naturopath11930 SW GREENBURG RD
TIGARD, OR 97223
(503) 639-1712
1982649323DR. ALICIA C S BIGELOW ND
Individual
Naturopath11930 SW GREENBURG RD
TIGARD, OR 97223
(503) 639-1712
1700039153 STEVEN KASEL LAC
Individual
Acupuncturist11930 SW GREENBURG RD
TIGARD, OR 97223
(503) 639-1712
1346579869EVOLUTION THERAPEUTICS LLC
Organization
Clinic/Center11930 SW GREENBURG RD
PORTLAND, OR 97223
(503) 956-6686
1619265600NW NATUROPATHIC MEDICINE
Organization
Naturopath11930 SW GREENBURG RD
TIGARD, OR 97223
(503) 639-3777
1306282363NW NATUROPATHIC MEDICINE, PC
Organization
Non-Pharmacy Dispensing Site11930 SW GREENBURG RD
TIGARD, OR 97223
(503) 639-3777
1659764751 ANTOINETTE EASTWOOD C.N.
Individual
Nutritionist11930 SW GREENBURG RD
TIGARD, OR 97223
(503) 639-3777
1720455397DR. JANNA HIBLER ND
Individual
Naturopath11930 SW GREENBURG RD
PORTLAND, OR 97223
(503) 639-3777
1164047486NERVE AND PAIN INSTITUTE LLC
Organization
Psychiatry & Neurology (Pain Medicine)11930 SW GREENBURG RD
TIGARD, OR 97223
(503) 987-3707
1063894541 KWO WEI DAVID HO M.D., PH.D
Individual
Pain Medicine (Interventional Pain Medicine)11930 SW GREENBURG RD
TIGARD, OR 97223
(503) 987-3707
1619747557DR. JAMIE HILL FUNG DNP
Individual
Nurse Practitioner (Acute Care)11930 SW GREENBURG RD
TIGARD, OR 97223
(503) 987-3707

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053670117, enumerated in the NPI registry as an "organization" on May 10, 2012

The provider is located at 11930 Sw Greenburg Rd Tigard, Or 97223 and the phone number is (503) 639-1712

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 10, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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