Active NPI
Eric Sarensen, BS, MATS
- Community Health Worker
- Lakeview, OR
National Provider Identifier
1720706757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- THW000000279
- Practice address
- 700 S J St
Lakeview, OR 97630-1623 - Phone
- (541) 417-1247
- NPI assigned
- Aug 16, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | THW000000279 | OR | Primary |
Addresses
Primary practice location
700 S J St
Lakeview, OR 97630-1623
Mailing address
700 S J St
Lakeview, OR 97630-1623
Phone (541) 417-1247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| THW000000279 | OR | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1720706757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 S J ST",
"city": "LAKEVIEW",
"state": "OR",
"postal_code": "976301623",
"telephone_number": "541-417-1247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S J ST",
"city": "LAKEVIEW",
"state": "OR",
"postal_code": "976301623",
"telephone_number": "541-417-1247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARENSEN",
"first_name": "ERIC",
"name_prefix": "Mr.",
"credential": "BS, MATS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-16",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OR",
"license": "THW000000279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeview, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.