Active NPIIndividual provider

Ms. Fanny M Adams, THW, BA

Community Health Worker in Portland, Oregon

NPI Number1366015133
Practice location
12710 SE Division St, Portland, OR 97236-3134
Fax
503-988-3606
Last updated
July 20, 2021

Ms. Fanny M Adams, THW, BA is a Community Health Worker based in Portland, OR. Ms. Fanny M Adams, THW, BA holds the professional credentials of THW, BA. The NPI number for Ms. Fanny M Adams, THW, BA is 1366015133. The current practice location address is 12710 SE Division St, Portland, OR 97236-3134 and the office can be reached by phone at 503-988-9203 and by fax at 503-988-3606. The NPI was assigned on July 20, 2021 and the record was last updated in NPPES on July 20, 2021.

●Provider Profile Details

NPI Number
1366015133
Provider Name
Fanny Maricela Adams
Credential
THW, BA
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Community Health Worker · 172V00000X
Sole Proprietor
No
Enumeration Date
July 20, 2021
Last Update Date
July 20, 2021
Certification Date
July 20, 2021
NPI Status
Active

◉Business Practice Location Address

Address
12710 SE Division St
Portland, OR 97236-3134
State
Oregon
ZIP
97236-3134
Country
US
Phone Number
503-988-9203
Fax Number
503-988-3606

Get directions →

✉Business Mailing Address

Address
12710 SE Division St
Portland, OR 97236-3134
City
Portland
State
OR
ZIP
97236-3134
Phone Number
503-988-9203
Fax Number
503-988-3606

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Community Health Worker172V00000XYes——

#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 Ms. Fanny M Adams, THW, BA?

The NPI number of Ms. Fanny M Adams, THW, BA is 1366015133. It was assigned on July 20, 2021 and is currently active in the NPPES registry.

What is the specialty of Ms. Fanny M Adams, THW, BA?

Ms. Fanny M Adams, THW, BA is registered under the primary taxonomy Community Health Worker (code 172V00000X).

Where does Ms. Fanny M Adams, THW, BA practice?

The practice location is 12710 SE Division St, Portland, OR 97236-3134. The office can be reached at 503-988-9203 (phone) or 503-988-3606 (fax).

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 1366015133 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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