Active NPI
Oregon Community Health Workers Association
- Community Health Worker
- Portland, OR
National Provider Identifier
1033945795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Legal business name
- OREGON COMMUNITY HEALTH WORKERS ASSOCIATION
- Practice address
- 401 NE 19TH Ave #200
2ND Floor
Portland, OR 97232 - Phone
- (855) 445-2497
- NPI assigned
- Sep 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennine Smart, MSW
- Title
- Executive Director
- Phone
- (971) 322-9900
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
401 NE 19TH Ave #200
2ND Floor
Portland, OR 97232
Mailing address
401 NE 19TH Ave #200
2ND Floor
Portland, OR 97232
Phone (855) 445-2497
Other practice location 1
9400 SW Beaverton Hillsdale Hwy Ste 250
Beaverton, OR 97005-3300
Phone (855) 445-2497
Other names 1
- ORCHWA
National Provider Directory
National Provider DirectoryLocations
401 NE 19th Ave
Portland, OR 97232
Phone (855) 445-2497
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725926400000",
"number": "1033945795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 NE 19TH AVE #200",
"address_2": "2ND FLOOR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97232",
"telephone_number": "855-445-2497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 NE 19TH AVE #200",
"address_2": "2ND FLOOR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97232",
"telephone_number": "855-445-2497"
}
],
"practiceLocations": [
{
"address_1": "9400 SW Beaverton Hillsdale Hwy Ste 250",
"address_purpose": "LOCATION",
"city": "Beaverton",
"state": "OR",
"postal_code": "970053300",
"country_code": "US",
"telephone_number": "855-445-2497",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "OREGON COMMUNITY HEALTH WORKERS ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-10",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A",
"authorized_official_last_name": "SMART",
"authorized_official_first_name": "JENNINE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "971-322-9900",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ORCHWA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.