PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1568793313
Physical Therapist in Lake Oswego, OR
NPI Status: Active since January 19, 2010
Contact Information
17550 PROVOST ST STE 201
LAKE OSWEGO, OR
ZIP 97034
Phone: (503) 513-3350
Fax: (503) 513-3355
- Organization
- Physical Therapist
- CLIA Number: 38D0894595
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-31-2027
About PROVIDENCE HEALTH & SERVICES - OREGON
This page provides the complete NPI Profile along with additional information for Providence Health & Services - Oregon, a provider established in Lake Oswego, Oregon operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1568793313 assigned on January 2010. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an organization and their NPI record was last updated June 2025. The provider's
- NPI
- 1568793313
- Provider Legal Name
- PROVIDENCE HEALTH & SERVICES - OREGON
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 17550 PROVOST ST STE 201 LAKE OSWEGO, OR 97034
- Location Phone
- (503) 513-3350
- Location Fax
- (503) 513-3355
- Mailing Address
- PO BOX 31001 - 4180 PASADENA, CA 91110
- Mailing Phone
- (425) 358-9786
- Mailing Fax
- (503) 513-3355
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-19-2010
- Last Update Date
- 06-30-2025
- 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
Physical Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy Description
- Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500672536 | MEDICAID (05) | OR |
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
- 38D0894595
- Facility Type
- Physician Office
- Certificate Effective Date
- June 01, 2025
- Certificate Expiration Date
- May 31, 2027
- Laboratory Director
- SAMANTHA MCKAY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Providence Health & Services - Oregon to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for PROVIDENCE HEALTH & SERVICES - OREGON
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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 | 5 | 6 | 8 | 7 | 9 | 3 | 3 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 14 | 9 | 6 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 1 + 4 + 9 + 6 + 3 + 2 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1568793313 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 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1346591005 | MRS. STEPHANIE LYNN BRITCHER PT Individual | Physical Therapist | 17550 PROVOST ST STE 201 LAKE OSWEGO, OR 97034 (503) 872-2440 |
| 1164877023 | SUSAN A BLASI D.O. Individual | Family Medicine | 17550 PROVOST ST STE 201 LAKE OSWEGO, OR 97034 (503) 513-3350 |
| 1376142133 | RANDY DITTMAR PT Individual | Physical Therapist | 17550 PROVOST ST STE 201 LAKE OSWEGO, OR 97034 (503) 872-2440 |
| 1679063531 | CAITLIN D DURAN PT Individual | Physical Therapist | 17550 PROVOST ST STE 201 LAKE OSWEGO, OR 97034 (503) 872-2440 |
| 1922405059 | LESLIE GUSTAFSON PA-C Individual | Physician Assistant | 17550 PROVOST ST STE 201 LAKE OSWEGO, OR 97034 (503) 872-2440 |
| 1205369873 | THOMAS B RAINES-MORRIS MD, MPH Individual | Family Medicine | 17550 PROVOST ST STE 201 LAKE OSWEGO, OR 97034 (503) 872-2440 |
| 1053960104 | AMANDA LEIGH BARCLAY PA-C Individual | Physician Assistant | 17550 PROVOST ST STE 201 LAKE OSWEGO, OR 97034 (503) 872-2440 |
| 1831716646 | MR. ARTHUR JEFFERY NELSON PA-C Individual | Physician Assistant | 17550 PROVOST ST STE 201 LAKE OSWEGO, OR 97034 (503) 872-2440 |
| 1831669191 | ELEANOR B DEBAKKER PT Individual | Physical Therapist | 17550 PROVOST ST STE 201 LAKE OSWEGO, OR 97034 (503) 872-2440 |
| 1801087283 | SAMANTHA ALISON MCKAY M.D. Individual | Family Medicine | 17550 PROVOST ST STE 201 LAKE OSWEGO, OR 97034 (503) 872-2440 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568793313, enumerated in the NPI registry as an "organization" on January 19, 2010
The provider is located at 17550 Provost St Ste 201 Lake Oswego, Or 97034 and the phone number is (503) 513-3350
This medical organization specializes in Physical Therapist with taxonomy code 225100000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 38D0894595 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on January 19, 2010. 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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