Individual
KASANDRA SALMERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
4400 NE HALSEY ST, PORTLAND, OR 97213-1545
(971) 281-4869
Mailing address
PO BOX 853, FOREST GROVE, OR 97116-0853
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
105932
OR
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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