Active NPI
Cecilia Antonia Garcia Flores
- Licensed Practical Nurse
- Tigard, OR
National Provider Identifier
1124826136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 202201222LPN
- Practice address
- 10763 SW Greenburg Rd Ste 100
Tigard, OR 97223-5492 - Phone
- (503) 684-8159
- Fax
- (503) 598-0934
- NPI assigned
- Mar 5, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 202201222LPN | OR | Primary |
Addresses
Primary practice location
10763 SW Greenburg Rd Ste 100
Tigard, OR 97223-5492
Mailing address
345 W Locust St
Stayton, OR 97383-1621
Phone (971) 453-3334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202201222LPN | OR | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CRC Health Oregon, LLC | Past | Accepting new patients | |
| CRC Health Oregon, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Methadone Clinic
- Tigard, OR
- NPI 1184775967
-
- Methadone Clinic
- Albany, OR
- NPI 1811561731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1124826136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 W LOCUST ST",
"city": "STAYTON",
"state": "OR",
"postal_code": "973831621",
"telephone_number": "971-453-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10763 SW GREENBURG RD STE 100",
"city": "TIGARD",
"state": "OR",
"postal_code": "972235492",
"telephone_number": "503-684-8159",
"fax_number": "503-598-0934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA FLORES",
"first_name": "CECILIA",
"middle_name": "ANTONIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-05",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OR",
"license": "202201222LPN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.