Idalia Maria Trejo
Individual provider Active NPI Case Manager/Care Coordinator · Umatilla, OR
NPI 1194446260 · NPPES record last updated Sep 7, 2022
Key facts
- NPI
- 1194446260
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 290 Willamette St
Umatilla, OR 97882-6601 - Phone
- (541) 922-0880
- Fax
- (541) 922-2820
- NPI assigned
- Sep 7, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeways, Inc | Past |
Accepting new patients | |
| Lifeways, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
290 Willamette St
Umatilla, OR 97882-6601
Mailing address
702 Sunset Dr
Ontario, OR 97914-3121
Phone (541) 889-9167
Other names
- Idalia Maria Viesca
Other providers in Umatilla, OR
- Sharon Marie Smith
- Pamela Renee Stonecypher
- Bridgett J Sullivan
- Michael Thurman
- Adrianna Sophia Torres Leal
- Gina Turner
- Umatilla County School District #6R
- Umatilla Medical Clinic
- Umatilla Rural Fire Protection
- Andrew Valdez
All providers in Umatilla, OR · Case Manager/Care Coordinator in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.