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

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
THW000107715ORMDCommunity 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

Interoperability endpoints

  • Direct secure messaging: andrew.ahrens.p1@direct.lanecounty.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

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

Sources for this page

Verify at the official NPI Registry.