Active NPI
Graciela Torres, CHW
- Community Health Worker
- Salem, OR
National Provider Identifier
1780462408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 109655
- Practice address
- 1535 Liberty St SE
Salem, OR 97302-4345 - Phone
- (866) 972-0235
- Fax
- (503) 850-9910
- NPI assigned
- Sep 15, 2023
- 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 | 109655 | OR | Primary |
Addresses
Primary practice location
1535 Liberty St SE
Salem, OR 97302-4345
Mailing address
2459 SE Tualatin Valley Hwy # 416
Hillsboro, OR 97123-7919
Phone (503) 972-0235
Other practice location 1
1427 NW Flanders St Ste A
Portland, OR 97209-2646
Phone (503) 972-0235
Other practice location 2
2970 Highway 101
Florence, OR 97439-9711
Phone (866) 972-0235
Other practice location 3
3 River Ave
Eugene, OR 97404-2506
Phone (866) 972-0235
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 |
|---|---|---|---|
| 109655 | OR | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinicops, LLC | Past | Accepting new patients | |
| Clinicops LLC | Past | Accepting new patients | |
| Clinicops LLC | Past | Accepting new patients |
Organizations & group practices 3
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": "1694736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1780462408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2459 SE TUALATIN VALLEY HWY # 416",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971237919",
"telephone_number": "503-972-0235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1535 LIBERTY ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973024345",
"telephone_number": "866-972-0235",
"fax_number": "503-850-9910"
}
],
"practiceLocations": [
{
"address_1": "1427 NW Flanders St Ste A",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972092646",
"country_code": "US",
"telephone_number": "503-972-0235",
"fax_number": "503-379-1523",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2970 Highway 101",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "OR",
"postal_code": "974399711",
"country_code": "US",
"telephone_number": "866-972-0235",
"fax_number": "458-201-3775",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3 River Ave",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974042506",
"country_code": "US",
"telephone_number": "866-972-0235",
"fax_number": "541-631-5114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TORRES",
"first_name": "GRACIELA",
"credential": "CHW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-15",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OR",
"license": "109655",
"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 Sep 15, 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.