Daisy Cruz, CHW
Individual provider Active NPI Community Health Worker · Blue River, OR
NPI 1881307239 · NPPES record last updated Dec 30, 2022
Key facts
- NPI
- 1881307239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 54771 McKenzie Hwy
Blue River, OR 97413-9790 - Phone
- (541) 822-3341
- NPI assigned
- Dec 30, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orchid Oakridge Clinic, PC | Past |
Accepting new patients | |
| Orchid Oakridge Clinic, PC | Past |
Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/15142/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | OR | Yes |
Addresses
Primary practice location
54771 McKenzie Hwy
Blue River, OR 97413-9790
Mailing address
54771 McKenzie Hwy
Blue River, OR 97413-9790
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | OR |
Other providers in Blue River, OR
- Elizabeth Loree Cramer
- D & K Harbick Five LLC
- Andrea Ruth Lowry
- Kristi Ann McKenzie
- Debra M Waddell
- Leslie West
All providers in Blue River, 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 Dec 30, 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.