JESSE VANDENBORN
NPI 1205669496
Massage Therapist in Bend, OR

NPI Status: Active since August 22, 2024

Contact Information

61239 TETHEROW DR STE 208
BEND, OR
ZIP 97702
Phone: (541) 393-9648

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  • Individual
  • Male
  • Massage Therapist

About JESSE VANDENBORN

This page provides the complete NPI Profile along with additional information for Jesse Vandenborn, a provider established in Bend, Oregon with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1205669496 assigned on August 2024. The practitioner's primary taxonomy code is 225700000X with license number 28374 (OR). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1205669496
Provider Name
JESSE VANDENBORN
Gender
Male
Entity Type
Individual
Location Address
61239 TETHEROW DR STE 208 BEND, OR 97702
Location Phone
(541) 393-9648
Mailing Address
1630 NW PORTLAND AVE BEND, OR 97703
Is Sole Proprietor?
No
Enumeration Date
08-22-2024
Last Update Date
08-22-2024
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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

Massage Therapist

Taxonomy Code
225700000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
28374
License State
OR
Taxonomy Description
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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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.
1205669496
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
220512618418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 1 + 2 + 6 + 1 + 8 + 4 + 1 + 8 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1205669496 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205046216 DANIEL A RHODES DC
Individual
Chiropractor61239 TETHEROW DR STE 208
BEND, OR 97702
(650) 515-5596
1447011523BEND HEALTH & PERFORMANCE PC
Organization
Chiropractor61239 TETHEROW DR STE 208
BEND, OR 97702
(206) 617-4161
1295619815 MADISON BOETTNER LMT
Individual
Massage Therapist61239 TETHEROW DR STE 208
BEND, OR 97702
(541) 588-0525

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205669496, enumerated in the NPI registry as an "individual" on August 22, 2024

The provider is located at 61239 Tetherow Dr Ste 208 Bend, Or 97702 and the phone number is (541) 393-9648

The provider's speciality is Massage Therapist with taxonomy code 225700000X

This NPI record was last updated on August 22, 2024. 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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