Andrew Suk Wolf Ahrens
Individual provider Active NPI Community Health Worker · Eugene, OR
NPI 1134838774 · NPPES record last updated Nov 22, 2022
Key facts
- NPI
- 1134838774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- THW000107715 (OR)
- Practice address
- 151 W 7TH Ave # 560
Eugene, OR 97401-1100 - Phone
- (510) 682-0089
- NPI assigned
- Nov 22, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| THW000107715 | OR | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lane County Oregon | Current |
Accepting new patients |
Locations
151 W 7th Ave
Ste 560
Eugene, OR 97401
Phone (458) 217-4686
Interoperability endpoints
- andrew.ahrens.p1@direct.lanecounty.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | THW000107715 | OR | Yes |
Addresses
Primary practice location
151 W 7TH Ave # 560
Eugene, OR 97401-1100
Mailing address
151 W 7TH Ave # 560
Eugene, OR 97401-1100
Phone (510) 682-0089
Other providers in Eugene, OR
- Alexandra Aguirre
- Debbie Ahearn
- Rose Elena Ahearn
- Karyn Lynn Aho
- Ahr Eugene Or Alf TRS Sub LLC
- Jolene Neiumy Aiken
- Chanelle Ajimura
- Micheal Akah
- Linda J Akerlund
- Zandra Wolf Akerson
All providers in Eugene, OR · Community Health Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.