Individual
SERGIO ENRIQUE ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHW
Contact information
Practice address
600 NE 8TH ST, GRESHAM, OR 97030-7317
(971) 865-1188
(503) 988-5185
Mailing address
1220 SW 25TH ST, TROUTDALE, OR 97060-1741
(503) 701-1210
(503) 988-5185
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000108654
OR
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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