Brookings Community Resource Response
Organization Active NPI Community Health Worker · Brookings, OR
NPI 1558029447 · NPPES record last updated Aug 18, 2022
Key facts
- NPI
- 1558029447
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Health Worker 172V00000X
- Legal business name
- BROOKINGS COMMUNITY RESOURCE RESPONSE
- Practice address
- 97900 Shopping Center Ave # 31
Brookings, OR 97415-9412 - Phone
- (541) 251-0825
- Fax
- (541) 813-3616
- NPI assigned
- Dec 7, 2021
- Organization subpart
- No
Authorized official
- Name
- Mrs. Diana Cooper, CHW
- Title
- Executive Director
- Phone
- (541) 251-0825
Practitioners 3
-
Diana Lacy Cooper, CHW
-
Alisha Machell Carroll, CRM, PSS, CHW, QMHAR
National Provider Directory
Locations
97900 Shopping Center Ave
#31
Brookings, OR 97415
Phone (541) 251-0825
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker |
172V00000X | Yes |
Addresses
Primary practice location
97900 Shopping Center Ave # 31
Brookings, OR 97415-9412
Mailing address
PO Box 4160
Brookings, OR 97415-0058
Phone (541) 251-0825
Other names
- Brookings CORE Response
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clinic@brookingscoreresponse.org | Direct |
Other providers in Brookings, OR
- Thomas Brand
- Steven T. Brantingham
- Kerstin Bravo
- Brice Chang Dentist PC
- Susan Elaine Brickley
- Brookings Dental Group, LLC
- Brookings Harbor Family Practice Clinic
- Brookings Harbor Medical Center P C
- Herman Brown Jr.
- James Edward Brown
All providers in Brookings, 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 Aug 18, 2022. 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.