Hayelom Mekonnen Adane
Individual provider Active NPI Social Worker · Eugene, OR
NPI 1063321990 · NPPES record last updated Sep 4, 2026
Key facts
- NPI
- 1063321990
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 260 E 11TH Ave
Eugene, OR 97401-3247 - Phone
- (541) 484-4428
- NPI assigned
- Sep 4, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | OR | ||
| Personal Care Attendant | 3747P1801X | OR | ||
| Nurse's Aide | 376K00000X | OR | ||
| Social Worker | 104100000X | OR | Yes |
Addresses
Primary practice location
260 E 11TH Ave
Eugene, OR 97401-3247
Mailing address
1605 12TH St
Springfield, OR 97477-2604
Phone (458) 325-6833
Other practice location 1
550 River Rd
Eugene, OR 97404-3212
Phone (541) 743-2611
Other practice location 2
2655 Martin Luther King Jr Blvd
Eugene, OR 97401-5899
Phone (541) 393-1440
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.