VIVIAN JUNE SHAW CRM
NPI 1205446663
Prevention Professional in Pendleton, OR

NPI Status: Active since July 31, 2020

Contact Information

46314 TIMINE WAY
PENDLETON, OR
ZIP 97801
Phone: (541) 966-9830
Fax: (541) 240-8754

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  • Individual
  • Male
  • Prevention Professional

About VIVIAN SHAW

This page provides the complete NPI Profile along with additional information for Vivian Shaw, a provider established in Pendleton, Oregon with a medical specialization in Prevention Professional. The healthcare provider is registered in the NPI registry with number 1205446663 assigned on July 2020. The practitioner's primary taxonomy code is 405300000X with license number 20-CRM-179 (OR). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1205446663
Provider Name
VIVIAN JUNE SHAW CRM
Other Name
VIVIAN JUNE SOHAPPY
Other Name Type
Former Name (1)
Gender
Male
Entity Type
Individual
Location Address
46314 TIMINE WAY PENDLETON, OR 97801
Location Phone
(541) 966-9830
Location Fax
(541) 240-8754
Mailing Address
PO BOX 160 PENDLETON, OR 97801
Mailing Phone
(541) 966-9830
Mailing Fax
(541) 240-8754
Is Sole Proprietor?
No
Enumeration Date
07-31-2020
Last Update Date
07-31-2020
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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

Prevention Professional

Taxonomy Code
405300000X
Type
Other Service Providers
License No.
20-CRM-179
License State
OR
Taxonomy Description
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

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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.
1205446663
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22058412612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 8 + 4 + 1 + 2 + 6 + 1 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1205446663 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134649650 HEATHER BROWN-LOWRY CMA
Individual
Nurse's Aide46314 TIMINE WAY
PENDLETON, OR 97801
(541) 966-9830
1871014746 DIONNE C BRONSON
Individual
Peer Specialist46314 TIMINE WAY
PENDLETON, OR 97801
(541) 966-9830
1285121491 LORASA A JOSEPH THW
Individual
Peer Specialist46314 TIMINE WAY
PENDLETON, OR 97801
(541) 966-9830
1609399468 SHOSHONI S WALKER CHW
Individual
Peer Specialist46314 TIMINE WAY
PENDLETON, OR 97801
(541) 966-9830
1316446172 DREW RIVERA
Individual
Community Health Worker46314 TIMINE WAY
PENDLETON, OR 97801
(541) 966-9830
1528035672MRS. DOROTHY DIEDE LCSW
Individual
Social Worker46314 TIMINE WAY
PENDLETON, OR 97801
(541) 966-9830
1093201626 JOANN FAYE MALUMALEUMU
Individual
Peer Specialist46314 TIMINE WAY
PENDLETON, OR 97801
(541) 966-9830
1013403286 IAN B SAMPSON
Individual
Peer Specialist46314 TIMINE WAY
PENDLETON, OR 97801
(541) 966-9830
1659822302 BROOK BRIEL MAY COLLINS PHARMD
Individual
Pharmacist46314 TIMINE WAY
PENDLETON, OR 97801
(541) 278-7546
1447269774DR. MARK STEVEN CLIPPINGER MD
Individual
Family Medicine46314 TIMINE WAY
PENDLETON, OR 97801
(541) 966-9830
1336622802 SHAWNA A REW-BLANCE RN
Individual
Registered Nurse46314 TIMINE WAY
PENDLETON, OR 97801
(541) 966-9830
1437310679MS. VICTORIA LEE STAR BSSW
Individual
Counselor46314 TIMINE WAY
PENDLETON, OR 97801
(541) 966-9830
1427528975 WHITNEY NICHOLE STAHL RN
Individual
Registered Nurse46314 TIMINE WAY
PENDLETON, OR 97801
(541) 966-9830
1447720529 MARISSA MARIE BAUMGARTNER THW
Individual
Peer Specialist46314 TIMINE WAY
PENDLETON, OR 97801
(541) 966-9830
1902378441 ASHLEY KAY HARDING THW
Individual
Peer Specialist46314 TIMINE WAY
PENDLETON, OR 97801
(541) 966-9830
1144794256MRS. DUSTY LYNN DRESSLER RDN
Individual
Dietitian, Registered46314 TIMINE WAY
PENDLETON, OR 97801
(541) 966-9830
1568027845 TIFFANY A LEGORE RDH
Individual
Dental Hygienist46314 TIMINE WAY
PENDLETON, OR 97801
(541) 966-9830
1982714879DR. JAMES WARREN WINDE MD
Individual
Family Medicine46314 TIMINE WAY
PENDLETON, OR 97801
(541) 966-9830
1417433517 WENONA R SCOTT
Individual
Counselor (Addiction (Substance Use Disorder))46314 TIMINE WAY
PENDLETON, OR 97801
(541) 966-9830
1871574087 JOHN A EATON RPH
Individual
Pharmacist46314 TIMINE WAY
PENDLETON, OR 97801
(541) 966-9830

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205446663, enumerated in the NPI registry as an "individual" on July 31, 2020

The provider is located at 46314 Timine Way Pendleton, Or 97801 and the phone number is (541) 966-9830

The provider's speciality is Prevention Professional with taxonomy code 405300000X

This NPI record was last updated on July 31, 2020. 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.