IndividualActive
Alisha Carroll, CRM, PSS, CHW, QMHAR
NPI 1629871413 · Community Health Worker · Brookings, OR
Provider details
- NPI number
- 1629871413
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Credential
- CRM, PSS, CHW, QMHAR
- Sex
- Female
- Sole proprietor
- No
- License
- 105038 (OR)
Specialties & taxonomies
Other Service Providers
Practice location
401 Fir St
Brookings, OR 97415-9222
Phone: (541) 469-3314
Fax: (541) 469-3314
Approximate (ZIP-level) locationGet directions
Mailing address
401 Fir St
Brookings, OR 97415-9222
Registry dates
- Enumerated
- 2025-03-28
- Last updated
- 2025-03-28
- Certified
- 2025-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.