Elizabeth Andrade Juarez, CHW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

113863 Issued in OR

Practice address

1655 State St
Salem, OR 97301-4232

Phone

(503) 581-1198

Fax

(503) 339-9565

NPI assigned

May 1, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Pech Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Two Lanes LLC

  • Family Nurse Practitioner
  • Salem, OR
  • NPI 1063772184
  NPD

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

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1679362248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 STATE ST",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014232",
            "telephone_number": "503-581-1198",
            "fax_number": "503-339-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 STATE ST",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014232",
            "telephone_number": "503-581-1198",
            "fax_number": "503-339-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRADE JUAREZ",
        "first_name": "ELIZABETH",
        "credential": "CHW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "113863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "PECH",
            "credential": "CHW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Samantha Anderson
• Tatiana O Anderson, PHARM.D.
• Timothy Wayne Anderson, CRM, THW
• Yvonne Anderson, EFDA
• Andreea Luiza Andone, M.D.
• Bishoy George Andrawes
• Joshua Andre
• Amy Andreas, OTR/L
• Andres R Kaindl DDS
• Teresa Andresen

• All providers in Salem, OR
• Community Health Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.

Verify at the official NPI Registry.