Mary Aguilar, LPTA
Individual provider Active NPI Community Health Worker · Milwaukie, OR
NPI 1417322017 · NPPES record last updated Dec 8, 2015
Key facts
- NPI
- 1417322017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- 07938 (OR)
- Practice address
- 12045 SE Stanley Ave
Milwaukie, OR 97222-2938 - Phone
- (503) 659-2323
- NPI assigned
- Dec 8, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07938 | OR | MD | Community Health Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 07938 | OR | Yes |
Addresses
Primary practice location
12045 SE Stanley Ave
Milwaukie, OR 97222-2938
Mailing address
8549 SE 29TH Ave
Milwaukie, OR 97222-6316
Phone (503) 200-9970
Other providers in Milwaukie, OR
- Samantha Rae Adkins
- Advanced Healing Inc
- Advanced Medical Imaging of Portland, LLC
- Anne Agriesti
- Shem Aguila
- Akash Gupta MD PC
- Amy Jewel Alameida
- Joshua Alcaraz
- Megan Alexander
- Yuri Alexander
All providers in Milwaukie, OR · Community Health Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2015. 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.