Healthcare Provider Details

I. General information

NPI: 1225947377
Provider Name (Legal Business Name): ALEYSHA ROZE KLUVER CHW/THW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEYSHA ROZE FERRIS CHW/THW

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 CHURCH ST SE
SALEM OR
97301-3796
US

IV. Provider business mailing address

360 CHURCH ST SE
SALEM OR
97301-3796
US

V. Phone/Fax

Practice location:
  • Phone: 503-588-6368
  • Fax: 503-588-6465
Mailing address:
  • Phone: 503-588-6368
  • Fax: 503-588-6465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number117117
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number117117
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number117117
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: