Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordyn R Ellis, CHW

Individual provider Community Health Worker · NPI 1093671885

Jordyn R Ellis, CHW is a Community Health Worker in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2025.

Licensed in
OR
In the registry since
2025

Practice location Address checks out

608 Lancaster Dr SE
Salem, OR 97317-5643
Phone: (503) 877-1995
Fax: (888) 990-1352
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence 115728 (OR)

Record details

NPI number1093671885
Entity typeIndividual (Type 1)
GenderFemale
Credentials CHW
Sole proprietorNo
NPI enumeratedDecember 24, 2025
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026

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