Vilma Chan Vasquez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L11082 Issued in OR

Practice address

4415 River Rd N
Keizer, OR 97303-5552

Phone

(503) 991-9165

Fax

(503) 566-2977

NPI assigned

Oct 28, 2016

Last updated

Dec 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1083166789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 SHADY LN NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034031",
            "telephone_number": "503-991-9165",
            "fax_number": "503-566-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973035552",
            "telephone_number": "503-991-9165",
            "fax_number": "503-566-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN VASQUEZ",
        "first_name": "VILMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-28",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L11082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Keizer, OR
• Providers in Keizer, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.