Individual
ELISEO TORRES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA
Contact information
Practice address
4600 25TH AVE NE, SUITE 110, SALEM, OR 97301-0338
(503) 581-7668
Mailing address
4600 25TH AVE NE, SUITE 110, SALEM, OR 97301-0338
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A6083
—
OR
Enumeration date
04/18/2016
Last updated
04/18/2016
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