NORTHWEST UROLOGY, LLC
NPI 1144698309
Non-Pharmacy Dispensing Site in Portland, OR
NPI Status: Active since September 04, 2015
Contact Information
2230 NW PETTYGROVE ST
PORTLAND, OR
ZIP 97210
Phone: (503) 223-6223
- Organization
- Non-Pharmacy Dispensing Site
- Accepts Insurance
- CLIA Number: 38D2104972
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-23-2026
About NORTHWEST UROLOGY, LLC
This page provides the complete NPI Profile along with additional information for Northwest Urology, Llc, a provider established in Portland, Oregon operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1144698309 assigned on September 2015. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Ms. Shelley Brown (Coo)
- NPI
- 1144698309
- Provider Name
- NORTHWEST UROLOGY, LLC
- Entity Type
- Organization
- Location Address
- 2230 NW PETTYGROVE ST PORTLAND, OR 97210
- Location Phone
- (503) 223-6223
- Mailing Address
- PO BOX 10343 PORTLAND, OR 97296
- Mailing Phone
- (503) 223-6223
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-04-2015
- Last Update Date
- 07-31-2018
- Code Navigator
Location Map
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
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- Taxonomy Description
- A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Avera $1800 - PPO
- Avera $2000 - PPO
- Avera $4000 - PPO
- Avera $4500 - PPO
- Avera $6000 - PPO
- Avera $7500 HSA Eligible HDHP - PPO
- Avera $9200 - PPO
- Avera Standard $1500 - PPO
- Avera Standard $5000 - PPO
- Avera Standard $7500 - PPO
- BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
- BSW Elite Gold HMO 012 - HMO
- BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
- BSW Prime Silver HMO 005 - HMO
- BSW Savers Bronze HMO H S A 006 - HMO
- BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
- BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate - HMO
- BlueCare Direct Gold? Standard - Rx Copays with Advocate - HMO
- Blue KC Catastrophic BlueSelect EPO - EPO
- Blue KC Choice Bronze 2 BlueSelect EPO with Spira Care - EPO
- Blue KC Choice Silver 1 BlueSelect EPO with Spira Care - EPO
- Blue KC Choice Silver BlueSelect Plus EPO with Spira Care - EPO
- Blue KC Community Silver Preferred-Care Blue EPO - EPO
- Blue KC First Bronze Preferred-Care Blue EPO - EPO
- Blue KC Saver Bronze Preferred-Care Blue EPO - EPO
- Blue KC Standard Bronze BlueSelect EPO - EPO
- Blue KC Standard Bronze Preferred-Care Blue EPO - EPO
- Blue KC Standard Gold Preferred-Care Blue EPO - EPO
- Blue KC Standard Silver BlueSelect EPO - EPO
- Blue KC Standard Silver Preferred-Care Blue EPO - EPO
- Blue Focus Bronze POS? 205 - POS
- Blue Focus Bronze POS? 705 - POS
- Blue Focus Bronze POS? Standard - POS
- Blue Focus Gold POS? 207 - POS
- Blue Focus Gold POS? Standard - POS
- Blue Focus Silver POS? 206 - POS
- Blue Focus Silver POS? Standard - POS
- Blue Preferred Bronze PPO? 201 - PPO
- Blue Preferred Bronze PPO? 202 - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? 204 - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? 203 - PPO
- Blue Preferred Silver PPO? 308 - PPO
- Blue Preferred Silver PPO? Standard - PPO
- HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue - EPO
- HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue PPO - PPO
- HeartlandBlue Bronze 5000 Blueprint Health w/ Adult Vision - EPO
- HeartlandBlue Bronze 5000 Premier Select BlueChoice w/ Adult Vision - EPO
- HeartlandBlue Bronze HSA 6500 Blueprint Health - EPO
- HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
- HeartlandBlue Bronze HSA 6500 NEtwork Blue PPO - PPO
- HeartlandBlue Bronze HSA 6500 Premier Select BlueChoice - EPO
- HeartlandBlue Bronze Standard 7500 Blueprint Health - EPO
- HeartlandBlue Bronze Standard 7500 NEtwork Blue - EPO
- HeartlandBlue Bronze Standard 7500 NEtwork Blue PPO - PPO
- HeartlandBlue Bronze Standard 7500 Premier Select BlueChoice - EPO
- HeartlandBlue Gold $0 Deductible NEtwork Blue - EPO
- HeartlandBlue Gold $0 Deductible NEtwork Blue PPO - PPO
- HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue - EPO
- HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue PPO - PPO
- HeartlandBlue Gold Standard 1500 Blueprint Health - EPO
- HeartlandBlue Gold Standard 1500 NEtwork Blue - EPO
- HeartlandBlue Gold Standard 1500 NEtwork Blue PPO - PPO
- HeartlandBlue Gold Standard 1500 Premier Select BlueChoice - EPO
- Blue Advantage Bronze PPO? 202 - PPO
- Blue Advantage Bronze PPO? 203 - PPO
- Blue Advantage Bronze PPO? Standard - PPO
- Blue Advantage Gold PPO? 309 - PPO
- Blue Advantage Gold PPO? 604 - PPO
- Blue Advantage Gold PPO? Standard - PPO
- Blue Advantage Silver PPO? 204 - PPO
- Blue Advantage Silver PPO? 501 - PPO
- Blue Advantage Silver PPO? Standard - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? Standard - PPO
- MyBlue Gold HMO? 704 - HMO
- MyBlue Gold HMO? 804 - HMO
- MyBlue Gold HMO? Standard - HMO
- MyBlue Silver HMO? 705 - HMO
- MyBlue Silver HMO? 803 - HMO
- MyBlue Silver HMO? Standard - HMO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- MyBlue Health Bronze? 402 - HMO
- BlueCare Gold $25 PCP Copay ($5 Value Based Drug List) - PPO
- BlueCare Silver $45 PCP Copay ($5 Value Based Drug List) - PPO
- BlueDirect Bronze 100 HSA Eligible ($7500 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
- BlueEssential Catastrophic 100 $9200 Deductible - PPO
- BlueValue Bronze $50 PCP Copay (Standardized plan) - PPO
- BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
- BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
- DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Altru Silver ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Silver ($5 Value Based Drug List) - PPO
- BlueSelect Bronze Basic - PPO
- BlueSelect Bronze Core - PPO
- BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
- BlueSelect Gold Core - PPO
- BlueSelect Gold HealthPlus - PPO
- BlueSelect Gold Standard without Kid's Dental - PPO
- BlueSelect Silver Classic - PPO
- BlueSelect Silver Classic without Kid's Dental - PPO
- BlueSelect Silver HealthPlus - PPO
- BlueSelect Silver HealthPlus without Kid's Dental - PPO
- BlueSelect Silver Standard without Kid's Dental - PPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
- CGHC Bronze Standard $7500 - Envision Network - EPO
- CGHC Catastrophic $9200 - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
- CGHC Gold $3000 - Envision Network - EPO
- CGHC Gold $3000 - Envision Network (Vision Exam) - EPO
- CGHC Gold Standard $1500 - Envision Network - EPO
- CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network - EPO
- CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network - EPO
- CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Silver Standard $5000 - Envision Network - EPO
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,000 - PPO
- Sanford Individual Simplicity $7,100 HSA Qualified - PPO
- Sanford Individual Simplicity $9,200 - PPO
- Sanford Individual Simplicity Standardized $1,500 - PPO
- Sanford Individual Simplicity Standardized $5,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
- Sanford Individual TRUE $1,750 - HMO
- Sanford Individual TRUE $3,500 - HMO
- Sanford Individual TRUE $4,750 - HMO
- Sanford Individual TRUE $6,000 - HMO
- Sanford Individual TRUE $7,100 HSA Qualified - HMO
- Sanford Individual TRUE $9,200 - HMO
- Sanford Individual TRUE Standardized $1,500 - HMO
- Sanford Individual TRUE Standardized $5,000 - HMO
- Sanford Individual TRUE Standardized $7,500 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D2104972
- Facility Type
- Physician Office
- Certificate Effective Date
- September 24, 2024
- Certificate Expiration Date
- September 23, 2026
- Laboratory Director
- ELI THOMPSON
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Northwest Urology, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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. | |||||||||
| 1 | 1 | 4 | 4 | 6 | 9 | 8 | 3 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 8 | 4 | 12 | 9 | 16 | 3 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 8 + 4 + 1 + 2 + 9 + 1 + 6 + 3 + 0 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1144698309 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740288158 | STANLEY A MYERS M.D. Individual | Urology | 2230 NW PETTYGROVE ST STE 210 PORTLAND, OR 97210 (503) 223-6223 |
| 1760411466 | DR. GAIL OTT D.C. Individual | Chiropractor | 2230 NW PETTYGROVE ST SUITE 110 PORTLAND, OR 97210 (503) 224-4804 |
| 1619995172 | NORTHWEST UROLOGICAL CLINIC PC Organization | Specialist | 2230 NW PETTYGROVE ST SUITE 210 PORTLAND, OR 97210 (503) 223-6223 |
| 1609965870 | KATHY GOFF L.P.N., SA-C Individual | Clinical Nurse Specialist (Medical-Surgical) | 2230 NW PETTYGROVE ST SUITE 210 PORTLAND, OR 97210 (503) 223-6223 |
| 1629119243 | KATHERINE SEMSCH L.M.T Individual | Massage Therapist | 2230 NW PETTYGROVE ST STE 110 PORTLAND, OR 97210 (503) 224-4804 |
| 1326189945 | JOYCE SOUZA L.M.T Individual | Massage Therapist | 2230 NW PETTYGROVE ST STE. 110 PORTLAND, OR 97210 (503) 224-4804 |
| 1659412286 | CRISTINE M WAKEFIELD L.M.T Individual | Massage Therapist | 2230 NW PETTYGROVE ST STE. 110 PORTLAND, OR 97210 (503) 224-4804 |
| 1215078837 | AUTUMN LEAH PETERSON L.M.T Individual | Massage Therapist | 2230 NW PETTYGROVE ST STE. 110 PORTLAND, OR 97210 (503) 224-4804 |
| 1588874945 | MS. JOY ILYNN OLSON L.M.T. Individual | Specialist | 2230 NW PETTYGROVE ST SUITE 110 PORTLAND, OR 97210 (503) 224-4804 |
| 1962603175 | DR. DANIEL AARON HIRSELJ M.D. Individual | Urology (Pediatric Urology) | 2230 NW PETTYGROVE ST SUITE #210 PORTLAND, OR 97210 (503) 223-6223 |
| 1336336643 | DR. JESSIE ANN SPEIRS N.D. Individual | Naturopath | 2230 NW PETTYGROVE ST #120 PORTLAND, OR 97210 (503) 222-2322 |
| 1043464910 | MARGO RENEE SPERRY-HUDSON LMT Individual | Specialist | 2230 NW PETTYGROVE ST SUITE 110 PORTLAND, OR 97210 (503) 224-4804 |
| 1962630723 | ALEXI SARA HEDLUND LMT Individual | Chiropractor | 2230 NW PETTYGROVE ST SUITE 110 PORTLAND, OR 97210 (503) 224-4804 |
| 1093050163 | DR. SHANE HARRISON OTT D.C. Individual | Chiropractor | 2230 NW PETTYGROVE ST SUITE 110 PORTLAND, OR 97210 (503) 224-4804 |
| 1114268117 | JASMIN L CATOE-GANAHL L.M.T. Individual | Massage Therapist | 2230 NW PETTYGROVE ST SUITE 140 PORTLAND, OR 97210 (503) 224-1818 |
| 1700924719 | DR. HYON SOO HAROLD KIM MD Individual | Otolaryngology (Otology & Neurotology) | 2230 NW PETTYGROVE ST STE 120 PORTLAND, OR 97210 (503) 444-7676 |
| 1124288386 | PATRICIA LEE FLETTER AU.D, CCC-A Individual | Audiologist | 2230 NW PETTYGROVE ST STE 120 PORTLAND, OR 97210 (503) 444-7676 |
| 1841674280 | NORTHWEST EAR INSTITUTE PC Organization | Otolaryngology (Otology & Neurotology) | 2230 NW PETTYGROVE ST STE. 120 PORTLAND, OR 97210 (503) 444-7676 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144698309, enumerated in the NPI registry as an "organization" on September 04, 2015
The provider is located at 2230 Nw Pettygrove St Portland, Or 97210 and the phone number is (503) 223-6223
This medical organization specializes in Non-Pharmacy Dispensing Site with taxonomy code 332900000X
The provider might be accepting Accepts: Avera Health Plans, Baylor Scott and White Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 38D2104972 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on September 04, 2015. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.