DR. KIMBERLY D QUEEN DC, CNS, DACBN
NPI 1710985486
Nutritionist in Portland, OR

NPI Status: Active since July 07, 2005

Contact Information

9020 SW WASHINGTON SQUARE RD
STE 500
PORTLAND, OR
ZIP 97223
Phone: (503) 291-7155
Fax: (503) 291-7152

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  • Individual
  • Female
  • Nutritionist
  • Accepts Insurance

About KIMBERLY QUEEN

This page provides the complete NPI Profile along with additional information for Kimberly Queen, a provider established in Portland, Oregon with a medical specialization in Nutritionist. The healthcare provider is registered in the NPI registry with number 1710985486 assigned on July 2005. The practitioner's primary taxonomy code is 133N00000X with license number 17105 (OR). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1710985486
Provider Name
DR. KIMBERLY D QUEEN DC, CNS, DACBN
Gender
Female
Entity Type
Individual
Location Address
9020 SW WASHINGTON SQUARE RD STE 500 PORTLAND, OR 97223
Location Phone
(503) 291-7155
Location Fax
(503) 291-7152
Mailing Address
9020 SW WASHINGTON SQUARE RD STE 500 PORTLAND, OR 97223
Mailing Phone
(503) 291-7155
Mailing Fax
(503) 291-7152
Is Sole Proprietor?
Yes
Enumeration Date
07-07-2005
Last Update Date
02-19-2017
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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

Nutritionist

Taxonomy Code
133N00000X
Type
Dietary & Nutritional Service Providers
License No.
17105
License State
OR
Taxonomy Description
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

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)
1111N00000XChiropractic Providers

Chiropractor

3106 (OR)
2111NN1001XChiropractic Providers

Chiropractor
Nutrition

238 (OR)

Insurance Plans Accepted

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

  • Connect 1500 Gold - EPO
  • Connect 5000 Silver - EPO
  • Connect 9200 Bronze - EPO
  • HSA Qualified 7100 Bronze - Signature Network - EPO
  • HSA Qualified 7100 Bronze - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Reviews for DR. KIMBERLY D QUEEN DC, CNS, DACBN

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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.
1710985486
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
272018810416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 1 + 8 + 8 + 1 + 0 + 4 + 1 + 6 + 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 1710985486 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
1811939036DR. SCOTT LAWRENCE BARRY DMD
Individual
Dentist (Endodontics)9020 SW WASHINGTON SQUARE RD #570
TIGARD, OR 97223
(503) 718-0095
1205226214LANDMARK HEALTH OF OREGON LLC
Organization
General Practice9020 SW WASHINGTON SQUARE RD SUITE 100
TIGARD, OR 97223
(877) 240-3112
1841739042DR. KELLY MORGENSEN DC
Individual
Nutritionist (Nutrition, Education)9020 SW WASHINGTON SQUARE RD ST 500
PORTLAND, OR 97223
(503) 291-7155

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710985486, enumerated in the NPI registry as an "individual" on July 07, 2005

The provider is located at 9020 Sw Washington Square Rd Ste 500 Portland, Or 97223 and the phone number is (503) 291-7155

The provider's speciality is Nutritionist with taxonomy code 133N00000X

The provider might be accepting Accepts: Providence Health Plan. 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 July 07, 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].
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