BROOKLEY VALENTINE HOLTER PAC
NPI 1710968375
Physician Assistant - Surgical in Portland, OR
NPI Status: Active since November 10, 2005
Contact Information
3101 SW SAM JACKSON PARK RD
SHRINER'S HOSPITAL FOR CHILDREN
PORTLAND, OR
ZIP 97239
Phone: (503) 221-3428
Fax: (503) 221-3490
- Individual
- Female
- Physician Assistant
- Surgical
- Accepts Insurance
About BROOKLEY HOLTER
This page provides the complete NPI Profile along with additional information for Brookley Holter, a provider established in Portland, Oregon with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1710968375 assigned on November 2005. The practitioner's primary taxonomy code is 363AS0400X with license number PA00818 (OR). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1710968375
- Provider Name
- BROOKLEY VALENTINE HOLTER PAC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3101 SW SAM JACKSON PARK RD SHRINER'S HOSPITAL FOR CHILDREN PORTLAND, OR 97239
- Location Phone
- (503) 221-3428
- Location Fax
- (503) 221-3490
- Mailing Address
- PO BOX 8500, LOCKBOX 7642 SHRINER'S HOSPITALS FOR CHILDREN PORTLAND PHILADELPHIA, PA 19178
- Mailing Phone
- (813) 281-8115
- Mailing Fax
- (503) 221-3490
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-10-2005
- Last Update Date
- 12-14-2017
- 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
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA00818
- License State
- OR
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Connect 1500 Gold - EPO
- Connect 5000 Silver - EPO
- Connect 9200 Bronze - EPO
- HSA Qualified 7100 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
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.
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 |
|---|---|---|---|
| P00186774 | OTHER (01) | RR MEDICARE | |
| 0192176 | OTHER (01) | WA | WA LABOR INDUSTRIES |
| 080727006 | OTHER (01) | OR | REGENCE BCBS |
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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 | 7 | 1 | 0 | 9 | 6 | 8 | 3 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 18 | 6 | 16 | 3 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 1 + 8 + 6 + 1 + 6 + 3 + 1 + 4 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1710968375 is valid because the calculated check digit 5 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 |
|---|---|---|---|
| 1902934086 | PATRICIA MARIE DAWSON MSN, NNP, RNC Individual | Nurse Practitioner (Neonatal) | 3101 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 494-9484 |
| 1588840532 | MS. SUSAN COOPER LABHARD MSN, RN Individual | Registered Nurse (Pediatrics) | 3101 SW SAM JACKSON PARK RD SHRINERS HOSPITAL FOR CHILDREN PORTLAND, OR 97239 (503) 241-5090 |
| 1235446576 | SONIA BOUCHARD Individual | Occupational Therapist | 3101 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 221-3429 |
| 1881901908 | MS. MARY KATHERINE BRESLIN RPT Individual | Physical Therapist | 3101 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 221-3429 |
| 1467769570 | ELHANNEN HERBERT HOSTLER III PT Individual | Physical Therapist | 3101 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 221-3429 |
| 1740597871 | APRIL TRENAMAN OTR/L Individual | Occupational Therapist | 3101 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 221-3429 |
| 1043527906 | MRS. DENEE MARIE KROEGER MOTR/L Individual | Occupational Therapist | 3101 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 221-3429 |
| 1780991646 | MRS. SHANNON JOANNE KELLY PT Individual | Physical Therapist | 3101 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 221-3429 |
| 1538476494 | LISA KAY MCINTYRE OTR/L Individual | Occupational Therapist | 3101 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 221-3429 |
| 1376851188 | DOREEN NOXON Individual | Physical Therapy Assistant | 3101 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 221-3429 |
| 1457669251 | JANIECE MARIE HINCKLEY PT Individual | Physical Therapist | 3101 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 221-3429 |
| 1477861094 | KIRSTEN ZILKE Individual | Physical Therapist | 3101 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 221-3429 |
| 1689982126 | MRS. SALLY MARIE MOEGGENBERG MPT Individual | Physical Therapist (Pediatrics) | 3101 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 221-3429 |
| 1306154836 | AMANDA STOLTZ DPT Individual | Physical Therapist | 3101 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 221-3429 |
| 1184932659 | KAY THROCKMORTON P.T. Individual | Physical Therapist (Pediatrics) | 3101 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 221-3429 |
| 1881903862 | SUSAN MCAULEY MCAULEY LPTA Individual | Physical Therapy Assistant | 3101 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 221-3429 |
| 1013921469 | LEE ALAN TAYLOR MD Individual | Anesthesiology | 3101 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 221-3424 |
| 1689688137 | JOSEPH IVAN KRAJBICH MD FRCSC Individual | Orthopaedic Surgery | 3101 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 221-3424 |
| 1770690745 | MICHAEL DAVID SUSSMAN MD Individual | Orthopaedic Surgery | 3101 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 221-3424 |
| 1215071055 | JOSELYN S DAVIDSON MD Individual | Anesthesiology (Pediatric Anesthesiology) | 3101 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 221-3424 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710968375, enumerated in the NPI registry as an "individual" on November 10, 2005
The provider is located at 3101 Sw Sam Jackson Park Rd Shriner's Hospital For Children Portland, Or 97239 and the phone number is (503) 221-3428
The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical
The provider might be accepting Accepts: PacificSource Health Plans, Providence Health. 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 November 10, 2005. 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.