MR. SHAMUS MICHEAL RETTLER
NPI 1881121911
Specialist in Portland, OR

NPI Status: Active since May 19, 2017

Contact Information

30 NE MARTIN LUTHER KING BLVD
PORTLAND, OR
ZIP 97232
Phone: (503) 232-1099

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  • Individual
  • Male
  • Specialist

About SHAMUS RETTLER

This page provides the complete NPI Profile along with additional information for Shamus Rettler, a provider established in Portland, Oregon with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1881121911 assigned on May 2017. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1881121911
Provider Name
MR. SHAMUS MICHEAL RETTLER
Gender
Male
Entity Type
Individual
Location Address
30 NE MARTIN LUTHER KING BLVD PORTLAND, OR 97232
Location Phone
(503) 232-1099
Mailing Address
30 NE MARTIN LUTHER KING BLVD PORTLAND, OR 97232
Is Sole Proprietor?
Yes
Enumeration Date
05-19-2017
Last Update Date
02-12-2021
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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)
1106S00000XBehavioral Health & Social Service Providers

Behavior Technician

(FL)

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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.
1881121911
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2816122292
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 6 + 1 + 2 + 2 + 2 + 9 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1881121911 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750945259 CYNTHIA CASCANTE
Individual
Peer Specialist30 NE MARTIN LUTHER KING BLVD
PORTLAND, OR 97232
(503) 232-1099
1316569221 ANGELA WOLFER
Individual
Peer Specialist30 NE MARTIN LUTHER KING BLVD
PORTLAND, OR 97232
(503) 232-1099
1033717079 ALICIA BETH PASIK
Individual
Counselor (Mental Health)30 NE MARTIN LUTHER KING BLVD
PORTLAND, OR 97232
(503) 232-1099
1124310305TELECARE MENTAL HEALTH SERVICES OF OREGON, INC.
Organization
Community Based Residential Treatment Facility, Mental Illness30 NE MARTIN LUTHER KING BLVD
PORTLAND, OR 97232
(503) 232-1099
1841925583 IDAMARIE WEIMER
Individual
Peer Specialist30 NE MARTIN LUTHER KING BLVD
PORTLAND, OR 97232
(503) 232-1099
1861120859 ANGUS GEORGE JOHN BREBNER
Individual
Peer Specialist30 NE MARTIN LUTHER KING BLVD
PORTLAND, OR 97232
(503) 232-1099
1063124709 SAMANTHA JANE RILEY
Individual
Peer Specialist30 NE MARTIN LUTHER KING BLVD
PORTLAND, OR 97232
(503) 232-1099
1811608326 CLAYTON JOHN WOULLARD
Individual
Peer Specialist30 NE MARTIN LUTHER KING BLVD
PORTLAND, OR 97232
(503) 744-9244
1679377352 ERIC W MESSERSMITH RN
Individual
Nurse Practitioner (Psychiatric/Mental Health)30 NE MARTIN LUTHER KING BLVD
PORTLAND, OR 97232
(360) 721-2305
1265220248 ORION JAY RODRIGUEZ PSS, THW
Individual
Community Health Worker30 NE MARTIN LUTHER KING BLVD
PORTLAND, OR 97232
(503) 232-1099
1346038437 MICHELLE A HESLA MRT
Individual
Technician, Health Information30 NE MARTIN LUTHER KING BLVD
PORTLAND, OR 97232
(971) 230-7649
1669367751 KATHRYN FERRANDINO
Individual
Psychologist (Counseling)30 NE MARTIN LUTHER KING BLVD
PORTLAND, OR 97232
(503) 232-3854
1619868478 JULIANA BERTUCCI
Individual
Peer Specialist30 NE MARTIN LUTHER KING BLVD
PORTLAND, OR 97232
(503) 232-1099
1457238578 KATHERINE FLECHA RN
Individual
Registered Nurse30 NE MARTIN LUTHER KING BLVD
PORTLAND, OR 97232
(503) 232-1099

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881121911, enumerated in the NPI registry as an "individual" on May 19, 2017

The provider is located at 30 Ne Martin Luther King Blvd Portland, Or 97232 and the phone number is (503) 232-1099

The provider's speciality is Specialist with taxonomy code 174400000X

This NPI record was last updated on May 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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