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General NPI Number Information
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NPI Number | 1700717972
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Entity Type | Individual
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Provider Name | AMY EILEEN LORENZO CHW, THW, CRM,
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Gender | Female
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Dates
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Enumeration Date | 05/27/2026
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Last Update Date | 05/27/2026
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Provider Practice Location Address
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Address Line | 2995 RYAN DR SE STE 200
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City | SALEM
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State | OR
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Zip | 97301-5157
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Country | US
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Telephone | 503-798-9364
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Fax |
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Provider Business Mailing Address
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Address Line | 120 25TH ST NE
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City | SALEM
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State | OR
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Zip | 97301-4501
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Country | US
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Telephone | 503-798-9364
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Fax | 503-485-3224
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 116891
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License Number State | OR
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