Jaquelin Casimiro Ortiz, CHW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

18633 SE Stark St
Ste 401
Portland, OR 97233-5468

Phone

(503) 489-1760

Fax

(503) 489-1763

NPI assigned

Oct 3, 2024

Last updated

Oct 3, 2024By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1346069721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18633 SE STARK ST STE 401",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972335468",
            "telephone_number": "503-489-1760",
            "fax_number": "503-489-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18633 SE STARK ST",
            "address_2": "STE 401",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972335468",
            "telephone_number": "503-489-1760",
            "fax_number": "503-489-1763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2812 Falk Rd Unit 20D",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986615617",
            "country_code": "US",
            "telephone_number": "971-331-5176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASIMIRO ORTIZ",
        "first_name": "JAQUELIN",
        "credential": "CHW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WALLACE MEDICAL CONCERN",
            "identifier": "1841592110",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colin Bryce Cashman, PMHNP-BC
• Valerie K Cashman
• Rylii Cashmere
• Marianne Casilio, MS, CCC-SLP
• Vanessa Abigail Casillas, PSY.D.
• Alexia Lucia Casio
• Quillan Caskey-Koldewyn
• Allison Jean Casler, LDM, CPM, THW DOULA
• Amber Lynn Casley
• Thelissa D Casley

• Community Health Worker in Portland, OR
• Providers in Portland, OR by specialty
• Community Health Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.