IndividualActive
Dustin Rhoades, THW
NPI 1821757733 · Community Health Worker · Portland, OR
Provider details
- NPI number
- 1821757733
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Credential
- THW
- Sex
- Male
- Sole proprietor
- No
- License
- THW000105185 (OR)
Specialties & taxonomies
Other Service Providers
Practice location
1825 Ne Glisan St
Portland, OR 97232-2844
Phone: (503) 963-7652
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 8459
Portland, OR 97207-8459
Registry dates
- Enumerated
- 2021-12-08
- Last updated
- 2021-12-08
- Certified
- 2021-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.