Active NPIIndividual provider

Marina Banderas, CHW

Community Health Worker in Salem, Oregon

NPI Number1508638958
Practice location
1174 Cornucopia St NW Ste 240, Salem, OR 97304-3193
Fax
—
Last updated
October 27, 2023

Marina Banderas, CHW is a Community Health Worker based in Salem, OR. Marina Banderas, CHW holds the professional credentials of CHW. The NPI number for Marina Banderas, CHW is 1508638958 and holds license No. THW000109713 (OR). The current practice location address is 1174 Cornucopia St NW Ste 240, Salem, OR 97304-3193 and the office can be reached by phone at 971-301-4411. The NPI was assigned on October 27, 2023 and the record was last updated in NPPES on October 27, 2023.

●Provider Profile Details

NPI Number
1508638958
Provider Name
Marina Banderas
Credential
CHW
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Community Health Worker · 172V00000X
Sole Proprietor
No
Enumeration Date
October 27, 2023
Last Update Date
October 27, 2023
Certification Date
October 27, 2023
NPI Status
Active

◉Business Practice Location Address

Address
1174 Cornucopia St NW Ste 240
Salem, OR 97304-3193
City
Salem
State
Oregon
ZIP
97304-3193
Country
US
Phone Number
971-301-4411

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✉Business Mailing Address

Address
4395 Falcon View Way NE Apt 203
Salem, OR 97305-2283
City
Salem
State
OR
ZIP
97305-2283
Phone Number
971-407-9549

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Community Health Worker172V00000XYesTHW000109713OR

#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 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) and holds license No. THW000109713 (OR).

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 at npiregistry.cms.hhs.gov.

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