Individual provider Active NPI

Lynn Marcum Gaffney, BSHCA, SSD, CHW

  • Community Health Worker
  • Oregon City, OR
National Provider Identifier
1770341810
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
113516 Issued in OR
Practice address
603 12TH St
Oregon City, OR 97045-1630
Phone
(503) 522-2358
NPI assigned
Mar 12, 2024
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X
Community Health Worker 172V00000X 113516 OR Primary

Addresses

Primary practice location

603 12TH St
Oregon City, OR 97045-1630

Mailing address

1155 Clayton Way
Gladstone, OR 97027-1146
Phone (971) 285-7225

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

LicenseStateTypeSpecialty
113516ORMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Fathers Heart Street Ministry Case Manager/Care Coordinator CurrentSince Sep 1, 2024 Accepting new patients

Locations

603 12th St
Oregon City, OR 97045
Phone (503) 522-2358

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1770341810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 CLAYTON WAY",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970271146",
            "telephone_number": "971-285-7225",
            "fax_number": "503-987-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 12TH ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451630",
            "telephone_number": "503-522-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFFNEY",
        "first_name": "LYNN",
        "middle_name": "MARCUM",
        "credential": "BSHCA, SSD, CHW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "113516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.