Sergio Enrique Ortega, CHW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

THW000108654 Issued in OR

Practice address

600 NE 8TH St
Gresham, OR 97030-7317

Phone

(971) 865-1188

Fax

(503) 988-5185

NPI assigned

Apr 12, 2023

Sex

Male

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

• Sergio E Ortega Other 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": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1669168779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 SW 25TH ST",
            "city": "TROUTDALE",
            "state": "OR",
            "postal_code": "970601741",
            "telephone_number": "503-701-1210",
            "fax_number": "503-988-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NE 8TH ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307317",
            "telephone_number": "971-865-1188",
            "fax_number": "503-988-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "SERGIO",
        "middle_name": "ENRIQUE",
        "credential": "CHW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "THW000108654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SERGIO",
            "last_name": "ORTEGA",
            "middle_name": "E",
            "credential": "CHW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Oregon Patient Care Coordinators
• Oregon Pedorthic Services Inc
• Oregon Physicians Eyecare Group, P.C.
• Frances Chinedum Orjiako
• Brianne Alisa Ortega, MS
• Maria Guadalupe Ortiz Ponce
• Monica Marie Ortiz, CRM
• Kaila Oshiro, DPT
• Donna L Osorio, M.A.
• Katherine Ouda

• Community Health Worker in Gresham, OR
• Providers in Gresham, 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 Apr 12, 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.