Individual provider Active NPI

Mar del Sol Verastegui Espinoza, CHW

  • Community Health Worker
  • Salem, OR
National Provider Identifier
1447057732
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
113104 Issued in OR
Practice address
610 Hawthorne Ave SE Ste 200
Salem, OR 97301-5378
Phone
(503) 446-0029
Fax
(503) 581-0043
NPI assigned
Feb 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 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 113104 OR Primary

Addresses

Primary practice location

610 Hawthorne Ave SE Ste 200
Salem, OR 97301-5378

Mailing address

610 Hawthorne Ave SE Ste 200
Salem, OR 97301-5378

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
113104ORMDCommunity Health Worker

NPI Registry JSON

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1447057732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 HAWTHORNE AVE SE STE 200",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973015378",
            "fax_number": "503-581-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 HAWTHORNE AVE SE STE 200",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973015378",
            "telephone_number": "503-446-0029",
            "fax_number": "503-581-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERASTEGUI ESPINOZA",
        "first_name": "MAR DEL SOL",
        "credential": "CHW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "113104",
            "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 Feb 25, 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.