PNW NUTRITION AND RECOVERY
NPI 1942059050
Clinic/Center in Portland, OR

NPI Status: Active since May 13, 2024

Contact Information

2455 NW MARSHALL ST STE 7
PORTLAND, OR
ZIP 97210
Phone: (310) 906-8950

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  • Organization
  • Clinic/Center

About PNW NUTRITION AND RECOVERY

This page provides the complete NPI Profile along with additional information for Pnw Nutrition And Recovery, a provider established in Portland, Oregon operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1942059050 assigned on May 2024. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Samara L Roman-holba Ms, Edm, Rd (Owner)

NPI
1942059050
Provider Name
PNW NUTRITION AND RECOVERY
Entity Type
Organization
Location Address
2455 NW MARSHALL ST STE 7 PORTLAND, OR 97210
Location Phone
(310) 906-8950
Mailing Address
2241 NW PETTYGROVE ST APT 7 PORTLAND, OR 97210
Mailing Phone
(310) 906-8950
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-13-2024
Last Update Date
05-13-2024
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
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).

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

SAMARA L ROMAN-HOLBA MS, EDM, RD

Authorized Official Title
OWNER
Authorized Official Phone
(310) 906-8950

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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.
1942059050
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29820518010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 8 + 2 + 0 + 5 + 1 + 8 + 0 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1942059050 is valid because the calculated check digit 0 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
1477692663DR. STEPHEN S. SCHERR PH,D.
Individual
Psychologist (Clinical)2455 NW MARSHALL ST STE 7
PORTLAND, OR 97210
(503) 222-3313
1417612151 SAMARA LILY ROMAN-HOLBA MS, EDM, RD, LD
Individual
Dietitian, Registered2455 NW MARSHALL ST STE 7
PORTLAND, OR 97210
(310) 906-8950
1992461057 ASHLEY JOPLING MA, CRC, LPC
Individual
Counselor (Mental Health)2455 NW MARSHALL ST STE 7
PORTLAND, OR 97210
(503) 218-3814

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942059050, enumerated in the NPI registry as an "organization" on May 13, 2024

The provider is located at 2455 Nw Marshall St Ste 7 Portland, Or 97210 and the phone number is (310) 906-8950

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on May 13, 2024. 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.