Active NPIIndividual providerSole proprietor

Miss Shalane C Ballenger, CHW

Community Health Worker in Milwaukie, Oregon

NPI Number1790422855
Practice location
10330 SE 32ND Ave Ste 325, Milwaukie, OR 97222-6656
Fax
—
Last updated
May 19, 2022

Miss Shalane C Ballenger, CHW is a Community Health Worker based in Milwaukie, OR. Miss Shalane C Ballenger, CHW holds the professional credentials of CHW. The NPI number for Miss Shalane C Ballenger, CHW is 1790422855 and holds license No. THW000105638 (OR). The current practice location address is 10330 SE 32ND Ave Ste 325, Milwaukie, OR 97222-6656 and the office can be reached by phone at 503-941-3039. The NPI was assigned on May 19, 2022 and the record was last updated in NPPES on May 19, 2022.

●Provider Profile Details

NPI Number
1790422855
Provider Name
Shalane Cecilia-Janae Ballenger
Credential
CHW
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Community Health Worker · 172V00000X
Sole Proprietor
Yes
Enumeration Date
May 19, 2022
Last Update Date
May 19, 2022
Certification Date
May 19, 2022
NPI Status
Active

◉Business Practice Location Address

Address
10330 SE 32ND Ave Ste 325
Milwaukie, OR 97222-6656
State
Oregon
ZIP
97222-6656
Country
US
Phone Number
503-941-3039

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✉Business Mailing Address

Address
7320 SW Hunziker RD Ste 300
Portland, OR 97223-2302
City
Portland
State
OR
ZIP
97223-2302
Phone Number
503-941-3039

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Community Health Worker172V00000XYesTHW000105638OR

#Other Provider Identifiers

No legacy or other 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 Miss Shalane C Ballenger, CHW?

The NPI number of Miss Shalane C Ballenger, CHW is 1790422855. It was assigned on May 19, 2022 and is currently active in the NPPES registry.

What is the specialty of Miss Shalane C Ballenger, CHW?

Miss Shalane C Ballenger, CHW is registered under the primary taxonomy Community Health Worker (code 172V00000X) and holds license No. THW000105638 (OR).

Where does Miss Shalane C Ballenger, CHW practice?

The practice location is 10330 SE 32ND Ave Ste 325, Milwaukie, OR 97222-6656. The office can be reached at 503-941-3039 (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 1790422855 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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