Provider Demographics
NPI:1285340745
Name:ADELANTE MUJERES
Entity type:Organization
Organization Name:ADELANTE MUJERES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HEALTH EQUITY
Authorized Official - Prefix:
Authorized Official - First Name:INGRID
Authorized Official - Middle Name:ROCIO
Authorized Official - Last Name:SOLARES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:503-330-0511
Mailing Address - Street 1:2030 MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:FOREST GROVE
Mailing Address - State:OR
Mailing Address - Zip Code:97116-3049
Mailing Address - Country:US
Mailing Address - Phone:503-992-0078
Mailing Address - Fax:503-359-1939
Practice Address - Street 1:2030 MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:FOREST GROVE
Practice Address - State:OR
Practice Address - Zip Code:97116-3049
Practice Address - Country:US
Practice Address - Phone:503-992-0078
Practice Address - Fax:503-359-1939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-27
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
No225XM0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistMental HealthGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty