Northwest Human Services, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Salem, OR
NPI 1790865798 · NPPES record last updated Aug 18, 2026
Key facts
- NPI
- 1790865798
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- NORTHWEST HUMAN SERVICES, INC.
- Practice address
- 694 Church St NE
Salem, OR 97301-2401 - Phone
- (503) 588-5827
- Fax
- (503) 315-0714
- NPI assigned
- Oct 16, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- NORTHWEST HUMAN SERVICES, INC.
Authorized official
- Name
- Kimberly Leathley
- Title
- Chief Executive Officer
- Phone
- (503) 588-5828
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 4
Practitioners 57
-
Nicholas Jordan Adair, PMHNP-BC
-
Caitlin Sierra Alcala, RN, ARNP-BC
-
Shawn Croskey, LPC, NCC
-
Elisabeth Ruth Decelles, PMHNP
-
Dale William Evola, LMFT
-
Meghan Ferry, PA-C
-
Sandra Danielle Fulkerson Schaeffer, MPH, PA-C
-
Melat Gebremeskel, PA-C
-
Erik Stephen Gillis, PA-C MHS
-
Alexandra Mae Gloor, FNP
-
Ellen Louise Kathrein, LCSW
-
Vickie Marie Larson-Hills, MSW LCSW
-
Marc R Malone, PSYD
-
Taylor Jeanne McDowell, PA-C
-
Maria Niemuth, DO
-
Lisa Anne Ripperton, LCSW, LCAS
-
Luz M Rivera, M.A., L.P.C.
-
Rebecca Ruyle, MSW, CSWA, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Federally qualified health center certification: CCN 381850
- Legal name
- NORTHWEST HUMAN SERVICES INC
- Doing business as
- HOMELESS OUTREACH AND ADVOCACY PROJECT
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Feb 20, 2003
- Last certification
- Feb 20, 2003
- Ownership / control type
- For profit – partnership
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 694 Church St NE
Salem, OR 97301-2401
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Oracio Larios |
Corporate Director |
May 1, 2024 | |
| William E Williams |
Corporate Director |
Feb 23, 2016 | |
| Matthew Emery |
Corporate Officer |
Jan 3, 2022 | |
| W-2 Managing Employee |
Jan 3, 2022 | ||
| Ana Lopez |
Corporate Director |
Jan 1, 2026 | |
| Yolanda Harris |
Corporate Director |
Aug 26, 2025 | |
| James G Christian |
Corporate Director |
Aug 25, 2020 | |
| Susan Scott |
Corporate Director |
Mar 29, 2011 | |
| Kimberly Leathley |
Corporate Officer |
Oct 1, 2024 | |
| W-2 Managing Employee | Oct 1, 2024 | ||
| Anne Griffin |
Corporate Director |
Feb 1, 2026 | |
| Larry F Goodreau |
Corporate Director |
Jan 31, 2003 | |
| Jan Margosian |
Corporate Director |
Oct 30, 2012 | |
| Robert Moore |
Corporate Director |
Jan 1, 2023 | |
| Michael B Wise |
Corporate Director |
Jan 31, 2003 | |
| Eric Tweed |
Corporate Director |
Feb 27, 2018 | |
| Ashley Jackson |
Corporate Director |
Aug 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030131000018 | OR | Part a Provider - Federally Qualified Health Center (FQHC) | 7012825797 | Practice locations: Salem, OR |
National Provider Directory
- Tax ID family
- West Salem Clinic
- Part of
- West Salem Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
694 Church St NE
Salem, OR 97301-2401
Mailing address
681 Center St NE
Salem, OR 97301-3722
Phone (503) 588-5828
Other names
- Homeless Outreach and Advocacy Project (HOAP)
Other providers in Salem, OR
- Northwest Durable Medical Equipment, Inc.
- Northwest Human Services, Inc.
- Northwest Human Services, Inc.
- Northwest Human Services, Inc.
- Northwest Human Services, Inc.
- Northwest Human Services, Inc.
- Northwest Institute for Integrative Counseling and Training
- Northwest Institute for Psychotherapy and Sexuality
- Northwest Integrated Providers, Inc
- Northwest Lifestyle Medicine, Inc.
All providers in Salem, OR · Federally Qualified Health Center (FQHC) in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.