OTRC SUDS
NPI 1427324466
Clinic/Center - Federally Qualified Health Center (FQHC) in Portland, OR

NPI Status: Active since March 23, 2012

Contact Information

33 NW BROADWAY
PORTLAND, OR
ZIP 97209
Phone: (503) 944-4410

Get Directions Reviews

  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance

About OTRC SUDS

This page provides the complete NPI Profile along with additional information for Otrc Suds, a primary care provider established in Portland, Oregon operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1427324466 assigned on March 2012. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's other name is Otrc Suds. The authorized official of this NPI record is Dr. Andrew Mendenhall Md (President & Ceo)

NPI
1427324466
Provider Legal Name
CENTRAL CITY CONCERN
Other Organization Name
OTRC SUDS
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
33 NW BROADWAY PORTLAND, OR 97209
Location Phone
(503) 944-4410
Mailing Address
232 NW 6TH AVE PORTLAND, OR 97209
Mailing Phone
(503) 294-1681
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-23-2012
Last Update Date
01-10-2024
Code Navigator

A primary care provider (PCP) like Otrc Suds sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

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

  • KP OR Bronze 6000 - EPO
  • KP OR Bronze HSA 7100 - EPO
  • KP OR Gold 0 - EPO
  • KP OR Gold 1750 - EPO
  • KP OR Silver 3000 - EPO
  • KP OR Silver 4000 - EPO
  • KP Oregon Standard Bronze Plan - EPO
  • KP Oregon Standard Gold Plan - EPO
  • KP Oregon Standard Silver Plan - EPO
  • KP OR Family Dental - $100 Ded - EPO
  • KP OR Family Dental - $1000 - EPO
  • KP OR Family Dental - $1000/$50 Ded - EPO

*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. ANDREW MENDENHALL MD

Authorized Official Title
PRESIDENT & CEO
Authorized Official Phone
(503) 294-1681

Reviews for OTRC SUDS

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1427324466
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447628412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 6 + 2 + 8 + 4 + 1 + 2 + 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 1427324466 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871893750 MARK VAUGHT LCSW
Individual
Social Worker (Clinical)33 NW BROADWAY
PORTLAND, OR 97209
(503) 228-7134
1184994485 HEATHER JAMIESON RN
Individual
Registered Nurse33 NW BROADWAY
PORTLAND, OR 97209
(503) 228-7134
1427328715 JULIA D BROWN MSW, QMHP
Individual
Counselor (Mental Health)33 NW BROADWAY
PORTLAND, OR 97209
(503) 228-7134
1558636241 STEVEN LOWRY RN
Individual
Registered Nurse33 NW BROADWAY
PORTLAND, OR 97209
(503) 228-7134
1720345523 JENNIFER J. VODDEN QMHP
Individual
Counselor (Mental Health)33 NW BROADWAY
PORTLAND, OR 97209
(503) 228-7134
1568796126 VALERIE SILLIMAN MSW, QMHP
Individual
Counselor (Mental Health)33 NW BROADWAY
PORTLAND, OR 97209
(971) 271-6285
1154679827 DANIELLE GASKIN LMSW
Individual
Social Worker33 NW BROADWAY
PORTLAND, OR 97209
(503) 228-7134
1407107519 ASHLEY A RINALDI RN
Individual
Registered Nurse33 NW BROADWAY
PORTLAND, OR 97209
(503) 228-7134
1992059364 ALEXANDRA MARIA JETT RDH
Individual
Dental Hygienist33 NW BROADWAY SUITE 380
PORTLAND, OR 97209
(503) 988-5770
1003981085 JEFFREY M MOORE LPC, CADC I
Individual
Counselor (Mental Health)33 NW BROADWAY
PORTLAND, OR 97209
(503) 228-7134
1790025336 TARA LYNN MINASSIAN
Individual
Social Worker33 NW BROADWAY
PORTLAND, OR 97209
(503) 228-7134
1558702647 TY ROBERSON
Individual
Counselor (Mental Health)33 NW BROADWAY
PORTLAND, OR 97209
(503) 228-7134
1184066763 ANDREW ROBOTTOM RN
Individual
Registered Nurse33 NW BROADWAY
PORTLAND, OR 97209
(971) 271-6307
1306288568 THOMAS BRUKETTA
Individual
Counselor (Mental Health)33 NW BROADWAY
PORTLAND, OR 97209
(503) 228-7134
1619307675 KRISTINE PEARL R.N.
Individual
Registered Nurse33 NW BROADWAY
PORTLAND, OR 97209
(503) 228-7134
1063839868MR. JEREMY HUTSON RN
Individual
Registered Nurse33 NW BROADWAY
PORTLAND, OR 97209
(503) 228-7134
1104085869MRS. SHARON PUNIVAI MC
Individual
Social Worker33 NW BROADWAY
PORTLAND, OR 97209
(503) 228-7134
1255676383MS. ANDREA KAILYN MONTO LMSW, QMHP
Individual
Counselor (Mental Health)33 NW BROADWAY
PORTLAND, OR 97209
(971) 271-6137
1093053795 KYLE STILWELL
Individual
Counselor (Mental Health)33 NW BROADWAY
PORTLAND, OR 97209
(503) 228-7134
1497003495 ERIKA TARJAN MFT, CADC-I
Individual
Counselor (Mental Health)33 NW BROADWAY
PORTLAND, OR 97209
(971) 271-6354

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427324466, enumerated in the NPI registry as an "organization" on March 23, 2012

The provider is located at 33 Nw Broadway Portland, Or 97209 and the phone number is (503) 944-4410

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

The provider might be accepting Accepts: Kaiser Permanente. 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 March 23, 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].
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.