Denise A Belsher, CHW
Individual provider Active NPI Community Health Worker · Redmond, OR
NPI 1811640477 · NPPES record last updated Feb 2, 2022
Key facts
- NPI
- 1811640477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- 105367 (OR)
- Practice address
- 3552 SW Wickiup CT Ste 200
Redmond, OR 97756-8313 - Phone
- (541) 604-0887
- NPI assigned
- Feb 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105367 | OR | MD | Community Health Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 105367 | OR | Yes |
Addresses
Primary practice location
3552 SW Wickiup CT Ste 200
Redmond, OR 97756-8313
Mailing address
3552 SW Wickiup CT Ste 200
Redmond, OR 97756-8313
Phone (541) 604-0887
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| THW000105367 | Medicaid | OR |
Other providers in Redmond, OR
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All providers in Redmond, OR · Community Health Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.