Active NPI
Romanet Leiva Flores Coleman
- Community Health Worker
- Milwaukie, OR
National Provider Identifier
1639926256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 109580
- Practice address
- 10202 SE 32ND Ave Ste 101
Milwaukie, OR 97222-3611 - Phone
- (503) 705-7970
- NPI assigned
- May 1, 2024
- 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 | 109580 | OR | Primary |
Addresses
Primary practice location
10202 SE 32ND Ave Ste 101
Milwaukie, OR 97222-3611
Mailing address
10202 SE 32ND Ave Ste 101
Milwaukie, OR 97222-3611
Phone (503) 705-7970
Other names 1
- Romanet Leiva Flores
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 |
|---|---|---|---|
| 109580 | OR | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1639926256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10202 SE 32ND AVE STE 101",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972223611",
"telephone_number": "503-705-7970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10202 SE 32ND AVE STE 101",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972223611",
"telephone_number": "503-705-7970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "ROMANET",
"middle_name": "LEIVA FLORES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-01",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OR",
"license": "109580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROMANET",
"last_name": "LEIVA FLORES",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Milwaukie, OR
- Louis Theodore Cohen, DO
- Nora Diane Cohoe, SPEECH LANGUAGE PATH
- Edeward Leon Cole, RPH
- Elizabeth Cole, L.AC, L.M.T
- Anna Coleman
- Robert Darnell Collier, PTA
- Stephanie Maraya Collings, M.S., CF-SLP
- Kelly Dawn Collins, PTA, CMT
- Michael Thomas Collins Sr., SPEECH LANGUAGE PATH
- Sheila Collins, PHYSICAL THERAPIST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.