IndividualActive
Jose De La Torre, MA
NPI 1477391878 · Prevention Professional · Gresham, OR
Provider details
- NPI number
- 1477391878
- Entity type
- Individual
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Credential
- MA
- Sex
- Male
- Sole proprietor
- No
- License
- 93-0841022 (OR)
Specialties & taxonomies
Other Service Providers
Other Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1312 E Powell Blvd
Gresham, OR 97030-8003
Phone: (503) 546-6377
Street-level locationGet directions
Mailing address
6200 Se King Rd
Portland, OR 97222-2891
Registry dates
- Enumerated
- 2024-07-18
- Last updated
- 2024-07-18
- Certified
- 2024-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.