Active NPI
Melissa Lynn Volentine
- Community Health Worker
- Portland, OR
National Provider Identifier
1346033271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 113414
- Practice address
- 1717 SW Madison St # 14
Portland, OR 97205-1716 - Phone
- (971) 610-3118
- NPI assigned
- May 23, 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 113414 | OR | Primary |
Addresses
Primary practice location
1717 SW Madison St # 14
Portland, OR 97205-1716
Mailing address
12645 SE Division St Apt 14
Portland, OR 97236-3197
Phone (971) 610-3118
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 |
|---|---|---|---|
| 113414 | OR | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747958400000",
"number": "1346033271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12645 SE DIVISION ST APT 14",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972363197",
"telephone_number": "971-610-3118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 SW MADISON ST # 14",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972051716",
"telephone_number": "971-610-3118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOLENTINE",
"first_name": "MELISSA",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-23",
"last_updated": "2025-05-23",
"certification_date": "2025-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OR",
"license": "113414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 23, 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.