Active NPI
Amy Eileen Lorenzo, CHW, THW, CRM,
- Community Health Worker
- Salem, OR
National Provider Identifier
1700717972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 116891
- Practice address
- 2995 Ryan Dr SE Ste 200
Salem, OR 97301-5157 - Phone
- (503) 798-9364
- NPI assigned
- May 27, 2026
- 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 | 116891 | OR | Primary |
Addresses
Primary practice location
2995 Ryan Dr SE Ste 200
Salem, OR 97301-5157
Mailing address
120 25TH St NE
Salem, OR 97301-4501
Phone (503) 798-9364
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 |
|---|---|---|---|
| 116891 | OR | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1700717972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 25TH ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973014501",
"telephone_number": "503-798-9364",
"fax_number": "503-485-3224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2995 RYAN DR SE STE 200",
"city": "SALEM",
"state": "OR",
"postal_code": "973015157",
"telephone_number": "503-798-9364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORENZO",
"first_name": "AMY",
"middle_name": "EILEEN",
"credential": "CHW, THW, CRM,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-27",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OR",
"license": "116891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.