Healthcare Provider Details

I. General information

NPI: 1013828185
Provider Name (Legal Business Name): ANAHI YANELI TORRES-PIMENTEL CHW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

891 23RD ST NE
SALEM OR
97301-1793
US

IV. Provider business mailing address

891 23RD ST NE
SALEM OR
97301-1793
US

V. Phone/Fax

Practice location:
  • Phone: 503-364-2181
  • Fax: 503-364-2181
Mailing address:
  • Phone: 503-364-2181
  • Fax: 503-364-2181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number118222
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: