Marcie Lynn Pries, CHW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

THW000108269 Issued in OR

Practice address

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

Phone

(503) 302-0104

NPI assigned

Feb 15, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Marcie Lynn Nollen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1659079002",
    "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",
            "telephone_number": "503-302-0104"
        },
        {
            "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": "503-302-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIES",
        "first_name": "MARCIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CHW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "THW000108269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCIE",
            "last_name": "NOLLEN",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sierra Nicole Preston-Thompson
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• Bruce Arthur Priem, M.S. P.T.
• Margery Ruth Pries, L.M.T.
• Primal Path Therapy LLC
• Primary Care West, P.C.
• Princeton Village Assisted Living Residence LLC
• Pringle Creek Family Dental, LLC

• Community Health Worker in Salem, OR
• Providers in Salem, 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 Feb 17, 2023; 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.