Active NPI
Jadzia Engle
- Community Health Worker
- Elmira, OR
National Provider Identifier
1699649707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- THW000115071
- Practice address
- 24934 Fir Grove LN
Elmira, OR 97437-9751 - Phone
- (541) 234-3255
- Fax
- (541) 508-4135
- NPI assigned
- Oct 1, 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 | THW000115071 | OR | Primary |
Addresses
Primary practice location
24934 Fir Grove LN
Elmira, OR 97437-9751
Mailing address
PO Box 546
Gresham, OR 97030-0132
Phone (971) 373-4165
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 |
|---|---|---|---|
| THW000115071 | OR | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768953600000",
"number": "1699649707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 546",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970300132",
"telephone_number": "971-373-4165",
"fax_number": "503-630-8551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24934 FIR GROVE LN",
"city": "ELMIRA",
"state": "OR",
"postal_code": "974379751",
"telephone_number": "541-234-3255",
"fax_number": "541-508-4135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGLE",
"first_name": "JADZIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-01",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OR",
"license": "THW000115071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmira, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.