BRANDON JOSEPH FULPS CRM
NPI 1346088986
Peer Specialist in Portland, OR
NPI Status: Active since July 17, 2024
Contact Information
6828 SE HOLGATE BLVD
PORTLAND, OR
ZIP 97206
Phone: (971) 803-8290
- Individual
- Male
- Peer Specialist
About BRANDON FULPS
This page provides the complete NPI Profile along with additional information for Brandon Fulps, a provider established in Portland, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1346088986 assigned on July 2024. The practitioner's primary taxonomy code is 175T00000X with license number 24CRM3393 (OR). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1346088986
- Provider Name
- BRANDON JOSEPH FULPS CRM
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6828 SE HOLGATE BLVD PORTLAND, OR 97206
- Location Phone
- (971) 803-8290
- Mailing Address
- 3181 NE 23RD ST APT F127 GRESHAM, OR 97030
- Mailing Phone
- (971) 381-7561
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-17-2024
- Last Update Date
- 07-17-2024
- 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
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License No.
- 24CRM3393
- License State
- OR
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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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 | 3 | 4 | 6 | 0 | 8 | 8 | 9 | 8 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 8 | 6 | 0 | 8 | 16 | 9 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 8 + 6 + 0 + 8 + 1 + 6 + 9 + 1 + 6 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1346088986 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 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1316721418 | HOPE CENTER RECOVERY LLC Organization | Clinic/Center (Adult Mental Health) | 6828 SE HOLGATE BLVD PORTLAND, OR 97206 (503) 332-4969 |
| 1144097932 | DANIEL ORTMAN Individual | Counselor (Addiction (Substance Use Disorder)) | 6828 SE HOLGATE BLVD PORTLAND, OR 97206 (503) 593-8404 |
| 1508633306 | JESSICA LYN MCCURDY CRM Individual | Peer Specialist | 6828 SE HOLGATE BLVD PORTLAND, OR 97206 (503) 332-4969 |
| 1548038359 | ALEXA LEE FAITH PAGE 23-CRM-2592 Individual | Peer Specialist | 6828 SE HOLGATE BLVD PORTLAND, OR 97206 (503) 332-4969 |
| 1649048448 | BRANDON KEITH LANE Individual | Peer Specialist | 6828 SE HOLGATE BLVD PORTLAND, OR 97206 (503) 332-4969 |
| 1871255000 | ERNIE MARTINEZ-TORRECILLAS Individual | Behavior Technician | 6828 SE HOLGATE BLVD PORTLAND, OR 97206 (503) 374-2200 |
| 1467218172 | CAMRON CHILDS Individual | Peer Specialist | 6828 SE HOLGATE BLVD PORTLAND, OR 97206 (503) 849-3711 |
| 1376301002 | JAMIE MICHELE WALTON Individual | Peer Specialist | 6828 SE HOLGATE BLVD PORTLAND, OR 97206 (503) 795-3987 |
| 1013769355 | KATHLEEN MICHELE CHIRGWIN CRM Individual | Peer Specialist | 6828 SE HOLGATE BLVD PORTLAND, OR 97206 (503) 795-3987 |
| 1134970528 | GARRETT AUSTIN SMITH CRM Individual | Peer Specialist | 6828 SE HOLGATE BLVD PORTLAND, OR 97206 (503) 805-7268 |
| 1225877079 | MR. JESSE I. MERCER CRM, PSS Individual | Peer Specialist | 6828 SE HOLGATE BLVD PORTLAND, OR 97206 (971) 803-8290 |
| 1174364863 | SABRINA MARIE SWANK CRM Individual | Peer Specialist | 6828 SE HOLGATE BLVD PORTLAND, OR 97206 (503) 795-3987 |
| 1164256558 | TRACY BENJAMIN NELSON CRM Individual | Peer Specialist | 6828 SE HOLGATE BLVD PORTLAND, OR 97206 (503) 795-3987 |
| 1578398327 | DEMESIA ALCAZAR Individual | Peer Specialist | 6828 SE HOLGATE BLVD PORTLAND, OR 97206 (503) 795-3987 |
| 1720813561 | MATHEW HUNT CRM Individual | Peer Specialist | 6828 SE HOLGATE BLVD PORTLAND, OR 97206 (503) 795-3987 |
| 1205644671 | ALYSSA ASHLEY SCHWEIZER-KAYS CRM Individual | Peer Specialist | 6828 SE HOLGATE BLVD PORTLAND, OR 97206 (503) 795-3987 |
| 1003629155 | ALANA FLYNN CRM Individual | Peer Specialist | 6828 SE HOLGATE BLVD PORTLAND, OR 97206 (503) 795-3987 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346088986, enumerated in the NPI registry as an "individual" on July 17, 2024
The provider is located at 6828 Se Holgate Blvd Portland, Or 97206 and the phone number is (971) 803-8290
The provider's speciality is Peer Specialist with taxonomy code 175T00000X
This NPI record was last updated on July 17, 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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