Active NPI
Cassey Imholt
- Community Health Worker
- Hillsboro, OR
National Provider Identifier
1659235091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 114727
- Practice address
- 256 SE 2ND Ave
Hillsboro, OR 97123-4017 - Phone
- (971) 301-4411
- NPI assigned
- Dec 10, 2025
- Last updated
- Dec 10, 2025
- 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 | 114727 | OR | Primary |
Addresses
Primary practice location
256 SE 2ND Ave
Hillsboro, OR 97123-4017
Mailing address
1174 Cornucopia St NW Ste 240
Salem, OR 97304-3193
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 |
|---|---|---|---|
| 114727 | OR | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Well Life Family Medicine, LLC | Current | Accepting new patients | |
| Clear Choice Dermatology | Past | Accepting new patients |
Locations
256 SE 2nd Ave
Hillsboro, OR 97123
Phone (503) 648-1003
1174 Cornucopia St NW
Ste 240
Salem, OR 97304
Phone (971) 301-4411
Interoperability endpoints
- https://api.platform.athenahealth.com/21276/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Willamette Valley Weight Loss, LLC
- Clinic/Center
- Salem, OR
- NPI 1760998355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1659235091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1174 CORNUCOPIA ST NW STE 240",
"city": "SALEM",
"state": "OR",
"postal_code": "973043193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 SE 2ND AVE",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234017",
"telephone_number": "971-301-4411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMHOLT",
"first_name": "CASSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-10",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OR",
"license": "114727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.