Torres, Eliseo

Torres, Eliseo is an individual health care provider with primary practice located at 4600 25Th Ave Ne Suite 110, Salem OR 97301-0338. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Torres, Eliseo can be contacted via phone (503) 581-7668.

Contact Information

Primary practice address
4600 25Th Ave Ne Suite 110 Salem OR 97301-0338
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1811341613
LBN Legal business name Torres, Eliseo
Credentials QMHA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2016
Last updated Apr 18th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811341613 NPPES
Oregon MEDICAID A6083

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