BRIGHTSTAR OF PORTLAND NORTH/EAST
NPI 1790076792
Home Health in Portland, OR

NPI Status: Active since April 25, 2011

Contact Information

825 NE 20TH AVE
SUITE 336
PORTLAND, OR
ZIP 97232
Phone: (503) 688-5575
Fax: (503) 688-5950

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  • Organization
  • Home Health

About BRIGHTSTAR OF PORTLAND NORTH/EAST

This page provides the complete NPI Profile along with additional information for Brightstar Of Portland North/east, a provider established in Portland, Oregon operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1790076792 assigned on April 2011. The practitioner's primary taxonomy code is 251E00000X with license number 13-1501 (OR). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Brightstar Of Portland North/east. The authorized official of this NPI record is Ms. Mary J. Kidd (Owner/branch Manager)

NPI
1790076792
Provider Legal Name
DANMAR, INC.
Other Organization Name
BRIGHTSTAR OF PORTLAND NORTH/EAST
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
825 NE 20TH AVE SUITE 336 PORTLAND, OR 97232
Location Phone
(503) 688-5575
Location Fax
(503) 688-5950
Mailing Address
825 NE 20TH AVE SUITE 336 PORTLAND, OR 97232
Mailing Phone
(503) 688-5575
Mailing Fax
(503) 688-5950
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-25-2011
Last Update Date
06-07-2011
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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

Home Health

Taxonomy Code
251E00000X
Type
Agencies
License No.
13-1501
License State
OR
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

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)
1251F00000XAgencies

Home Infusion

(OR)
2253Z00000XAgencies

In Home Supportive Care

(OR)

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

MS. MARY J. KIDD

Authorized Official Title
OWNER/BRANCH MANAGER
Authorized Official Phone
(503) 688-5575

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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.
1790076792
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271800712718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 0 + 7 + 1 + 2 + 7 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1790076792 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1336177138 ERIC J FREDERICK AU.D
Individual
Audiologist825 NE 20TH AVE SUITE 230
PORTLAND, OR 97232
(503) 928-4327
1447357801DR. LAURA G. POLICH PH.D., CCC-A & SLP
Individual
Audiologist825 NE 20TH AVE SUITE 230
PORTLAND, OR 97232
(503) 806-1498
1386786986 ARTHUR EUGENE KOWITCH PH.D.
Individual
Psychologist825 NE 20TH AVE 206
PORTLAND, OR 97232
(504) 234-7104
1619090982MS. NANCY MILLER LAC
Individual
Acupuncturist825 NE 20TH AVE SUITE 230
PORTLAND, OR 97232
(503) 944-9690
1033547781 CHELSEY WIKMAN MBA
Individual
Social Worker825 NE 20TH AVE STE 330
PORTLAND, OR 97232
(503) 290-1904
1073941365MR. CHARLES BRYAN HODGE MNM
Individual
Social Worker825 NE 20TH AVE SUITE 330
PORTLAND, OR 97232
(503) 290-1905
1770911695 CRYSTAL SNEDDON
Individual
Behavior Analyst825 NE 20TH AVE 140
PORTLAND, OR 97232
(503) 290-1912
1831528777 STACEY LYNN BECKMAN
Individual
Case Manager/Care Coordinator825 NE 20TH AVE STE 140
PORTLAND, OR 97232
(503) 290-1930
1457484024DR. MARSHA ANN JOHNSON AU.D.
Individual
Audiologist825 NE 20TH AVE SUITE 230
PORTLAND, OR 97232
(503) 234-1221
1497396196 CLAIRE KENNEALLY
Individual
Case Manager/Care Coordinator825 NE 20TH AVE
PORTLAND, OR 97232
(503) 290-1900
1699804211BRIDGETOWN HEARING CLINIC
Organization
Audiologist825 NE 20TH AVE SUITE 230
PORTLAND, OR 97232
(503) 528-6849
1518532894 BROOKE ALEXIS BAKER
Individual
Case Manager/Care Coordinator825 NE 20TH AVE
PORTLAND, OR 97232
(503) 290-1900
1437910833CENTERED HEALTH PHYSICAL THERAPY AND PILATES LLC
Organization
Clinic/Center (Physical Therapy)825 NE 20TH AVE
PORTLAND, OR 97232
(774) 208-3779

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790076792, enumerated in the NPI registry as an "organization" on April 25, 2011

The provider is located at 825 Ne 20th Ave Suite 336 Portland, Or 97232 and the phone number is (503) 688-5575

This medical organization specializes in Home Health with taxonomy code 251E00000X

This NPI record was last updated on April 25, 2011. 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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