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Active NPI 1477391878 Individual Practitioner Male Practitioner

Jose Luis De La Torre , MA

Prevention Professional • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Jose De La Torre, MA is a registered healthcare professional specializing in Prevention Professional in Gresham, OR. Practice services are available at 1312 E POWELL BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1312 E Powell Blvd

Gresham, OR 970308003

Telephone 5035466377
Associated Practice Facility / Clinic
🏢 Northwest Family Services Facility NPI 1275695934

Specialty Benchmarks & Practice Insights

Comparative analytics for Prevention Professional in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Gresham, OR (24 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-07-18
Prevention Professional Primary Specialty

NUCC Taxonomy Code: 405300000X

State License OR 93-0841022

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

Peer Specialist

NUCC Taxonomy Code: 175T00000X

State License OR 93-0841022

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Ana Maria Milburn , LCSW

Social Worker - Clinical

NPI 1003277567

Licensed Clinical Social Worker

Emily Streeter

Counselor - Addiction (Substance Use Disorder)

NPI 1003324146
Joseph Leick

Counselor - Addiction (Substance Use Disorder)

NPI 1043920127
Mia Mitchell , YPSS

Peer Specialist

NPI 1063287555
Cody Blackwell

Peer Specialist

NPI 1073484549
Midian Tenebrae-Hickey

Peer Specialist

NPI 1093406969

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 18, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2024

Registered at 1312 E POWELL BLVD, GRESHAM, OR 970308003 (Tel: 5035466377)

📍
Updated Business Mailing Address July 18, 2024

Registered at 6200 SE KING RD, PORTLAND, OR 972222891 (Tel: 5035466377)

👤
Provider Name / Credentials Updated July 18, 2024

Recorded as JOSE DE LA TORRE, MA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2024

Peer Specialist (License #93-0841022 in OR)

🟢
Initial NPI Registration & Enumeration July 18, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477391878
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2024
Last Update: July 18, 2024
Sole Proprietor: No

Mailing Address

6200 Se King Rd

Portland, OR 972222891

Phone: 5035466377

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.