Individual provider Active NPI

Connie Jo Albee, CHW

  • Community Health Worker
  • Salem, OR
National Provider Identifier
1215723358
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
113740 Issued in OR
Practice address
374 Owens St SE
Salem, OR 97302-4183
Phone
(866) 972-0235
Fax
(503) 850-9910
NPI assigned
Apr 16, 2025
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 113740 OR Primary

Addresses

Primary practice location

374 Owens St SE
Salem, OR 97302-4183

Mailing address

2459 SE Tualatin Valley Hwy # 416
Hillsboro, OR 97123-7919
Phone (866) 972-0235

Other practice location 1

2970 Highway 101
Florence, OR 97439-9711
Phone (866) 972-0235

Other practice location 2

3 River Ave
Eugene, OR 97404-2506
Phone (866) 972-0235

Other practice location 3

923 NW 14th Ave
Portland, OR 97209-2704
Phone (503) 972-0235

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

LicenseStateTypeSpecialty
113740ORMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clinicops LLC PastSince May 25, 2025 Accepting new patients
Clinicops, LLC PastSince Jul 5, 2022 Accepting new patients
Clinicops LLC PastSince May 25, 2025 Accepting new patients
Clinicops LLC PastSince May 25, 2025 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1215723358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2459 SE TUALATIN VALLEY HWY # 416",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971237919",
            "telephone_number": "866-972-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 OWENS ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024183",
            "telephone_number": "866-972-0235",
            "fax_number": "503-850-9910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2970 Highway 101",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "OR",
            "postal_code": "974399711",
            "country_code": "US",
            "telephone_number": "866-972-0235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 River Ave",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974042506",
            "country_code": "US",
            "telephone_number": "866-972-0235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "923 NW 14th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972092704",
            "country_code": "US",
            "telephone_number": "503-972-0235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBEE",
        "first_name": "CONNIE",
        "middle_name": "JO",
        "credential": "CHW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "113740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.