Sahlea Tubbeh, CHW

Individual provider Active NPI Community Health Worker · Eugene, OR

NPI 1124734769 · NPPES record last updated Jan 26, 2023

Key facts

NPI
1124734769
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
License
THW000108222 (OR)
Practice address
151 W 7TH Ave Ste 560
Eugene, OR 97401-1100
Phone
(458) 217-4412
NPI assigned
Jan 26, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
THW000108222ORMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lane County Oregon Current
since Dec 1, 2024
Accepting new patients

Locations

151 W 7th Ave
Ste 560
Eugene, OR 97401
Phone (458) 217-4686

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X THW000108222 OR Yes

Addresses

Primary practice location

151 W 7TH Ave Ste 560
Eugene, OR 97401-1100

Mailing address

3983 Onyx St
Eugene, OR 97405-4623
Phone (505) 803-6182

Other identifiers

IdentifierTypeStateIssuer
THW000108222OtherOROREGON HEALTH AUTHORITY TRADITIONAL HEALTH WORKER REGISTRY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 26, 2023.

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1124734769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3983 ONYX ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974054623",
            "telephone_number": "505-803-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W 7TH AVE STE 560",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974011100",
            "telephone_number": "458-217-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBBEH",
        "first_name": "SAHLEA",
        "credential": "CHW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "THW000108222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON HEALTH AUTHORITY TRADITIONAL HEALTH WORKER REGISTRY",
            "identifier": "THW000108222",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

All providers in Eugene, OR · Community Health Worker in Oregon

Sources for this page

Verify at the official NPI Registry.