WILLAMETTE VALLEY WEIGHT LOSS, LLC
NPI 1760998355
Clinic/Center in Salem, OR
NPI Status: Active since December 19, 2017
Contact Information
1174 CORNUCOPIA ST NW STE 240
SALEM, OR
ZIP 97304
Phone: (971) 301-4411
Fax: (971) 999-7006
- Organization
- Clinic/Center
- Accepts Insurance
- CLIA Number: 38D2160401
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-09-2027
About WILLAMETTE VALLEY WEIGHT LOSS, LLC
This page provides the complete NPI Profile along with additional information for Willamette Valley Weight Loss, Llc, a provider established in Salem, Oregon operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1760998355 assigned on December 2017. The practitioner's primary taxonomy code is 261Q00000X with license number 3012 (OR). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Willamette Valley Weight Loss, Llc. The authorized official of this NPI record is Dr. Aubrey Lynn Harding Nd (Owner)
- NPI
- 1760998355
- Provider Legal Name
- WELL LIFE FAMILY MEDICINE, LLC
- Other Organization Name
- WILLAMETTE VALLEY WEIGHT LOSS, LLC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1174 CORNUCOPIA ST NW STE 240 SALEM, OR 97304
- Location Phone
- (971) 301-4411
- Location Fax
- (971) 999-7006
- Mailing Address
- 1174 CORNUCOPIA ST NW STE 240 SALEM, OR 97304
- Mailing Phone
- (971) 301-4411
- Mailing Fax
- (971) 999-7006
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-19-2017
- Last Update Date
- 01-07-2019
- Code Navigator
Location Map
Secondary Locations
- 2651 Commercial St SE Ste 1
Salem, OR 97302
(971) 301-4411 - 1675 SW Marlow Ave Ste 307
Portland, OR 97225
(971) 301-4411 - 858 Commercial St NE
Salem, OR 97301
(971) 301-4411
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
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 3012
- License State
- OR
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Moda Health Affinity Bronze 7750 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- HSA Qualified 7100 Bronze - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
- Bronze HSA 7000 Individual and Family Network - EPO
- Gold 2300 Individual and Family Network - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Silver 6200 Individual and Family 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.
*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 |
|---|---|---|---|
| 500694138 | 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
- 38D2160401
- Facility Type
- Physician Office
- Certificate Effective Date
- January 10, 2025
- Certificate Expiration Date
- January 09, 2027
- Laboratory Director
- AUBREY L. HARDING
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Willamette Valley Weight Loss, Llc 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 WILLAMETTE VALLEY WEIGHT LOSS, LLC
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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 | 6 | 0 | 9 | 9 | 8 | 3 | 5 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 18 | 9 | 16 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 1 + 8 + 9 + 1 + 6 + 3 + 1 + 0 + 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 1760998355 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 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1487024998 | DR. AUBREY LYNN HARDING N.D. Individual | Naturopath | 1174 CORNUCOPIA ST NW STE 240 SALEM, OR 97304 (971) 301-4411 |
| 1932716917 | DR. KELSEY BARNETT ND Individual | Naturopath | 1174 CORNUCOPIA ST NW STE 240 SALEM, OR 97304 (971) 301-4411 |
| 1538775671 | ADAM SADOWSKI ND Individual | Naturopath | 1174 CORNUCOPIA ST NW STE 240 SALEM, OR 97304 (971) 301-4411 |
| 1508638958 | MARINA BANDERAS CHW Individual | Community Health Worker | 1174 CORNUCOPIA ST NW STE 240 SALEM, OR 97304 (971) 301-4411 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760998355, enumerated in the NPI registry as an "organization" on December 19, 2017
The provider is located at 1174 Cornucopia St Nw Ste 240 Salem, Or 97304 and the phone number is (971) 301-4411
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 38D2160401 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 December 19, 2017. 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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