Provider Demographics
NPI:1457092801
Name:TORRES GARCIA, IRIS E (CSWA)
Entity Type:Individual
Prefix:
First Name:IRIS
Middle Name:E
Last Name:TORRES GARCIA
Suffix:
Gender:F
Credentials:CSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1357 SE 115TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97216-3968
Mailing Address - Country:US
Mailing Address - Phone:971-506-2841
Mailing Address - Fax:
Practice Address - Street 1:1357 SE 115TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97216-3968
Practice Address - Country:US
Practice Address - Phone:971-506-2841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORA59881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical