- Practice location
- 1174 Cornucopia St NW Ste 240, Salem, OR 97304-3193
- Phone
- 971-301-4411
- Fax
- —
- Last updated
- October 27, 2023
Marina Banderas is a Community Health Worker based in Salem, OR. Marina Banderas practices in Salem, OR and has the professional credentials of CHW. The NPI Number for Marina Banderas is 1508638958 and holds a License No. THW000109713 (OR). The current practice location address for Marina Banderas is 1174 Cornucopia St NW Ste 240, Salem, OR 97304-3193 and can be reached out via phone at 971-301-4411.
Provider Profile Details
- NPI Number
- 1508638958
- Provider Name
- Marina Banderas
- Credential
- CHW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1174 Cornucopia St NW Ste 240, Salem, OR 97304-3193
- Phone Number
- 971-301-4411
- Primary Taxonomy
- Community Health Worker · 172V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 27, 2023
- Last Update Date
- October 27, 2023
- Certification Date
- October 27, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1174 Cornucopia St NW Ste 240
Salem, OR 97304-3193 - City
- Salem
- State
- Oregon
- Zip
- 97304-3193
- Phone Number
- 971-301-4411
Provider Business Mailing Address Details
- Address
- 4395 Falcon View Way NE Apt 203
Salem, OR 97305-2283 - City
- Salem
- State
- OR
- Zip
- 97305-2283
- Phone Number
- 971-407-9549
License Information
- License Number
- THW000109713
- License State
- OR
- Taxonomy
- Community Health Worker · 172V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Marina Banderas, CHW?
The NPI number of Marina Banderas, CHW is 1508638958. It was assigned on October 27, 2023 and is currently active in the NPPES registry.
What is the specialty of Marina Banderas, CHW?
Marina Banderas, CHW is registered under the primary taxonomy Community Health Worker (code 172V00000X), licensed in OR under license number THW000109713.
Where does Marina Banderas, CHW practice?
The practice location is 1174 Cornucopia St NW Ste 240, Salem, OR 97304-3193. The office can be reached at 971-301-4411 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508638958 directly on the NPPES registry website.