Provider Demographics
NPI:1285447862
Name:ORTEGA-SCHWARTZ, KYRA (CHW)
Entity type:Individual
Prefix:
First Name:KYRA
Middle Name:
Last Name:ORTEGA-SCHWARTZ
Suffix:
Gender:F
Credentials:CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9548 SE 40TH AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97222-5779
Mailing Address - Country:US
Mailing Address - Phone:503-432-6976
Mailing Address - Fax:
Practice Address - Street 1:2301 SE WILLARD ST
Practice Address - Street 2:
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97222-7764
Practice Address - Country:US
Practice Address - Phone:503-353-5847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR113100172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker