NPI 1063321990 · live from the CMS NPI Registry
Hayelom Mekonnen Adane
Social Worker in Eugene, OR. National Provider Identifier 1063321990, active.
NPI record
| NPI | 1063321990 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 260 E 11th Ave, Eugene, OR 97401 |
| Practice phone | 541-484-4428 |
| Mailing address | 1605 12th St, Springfield, OR 97477 |
| Enumerated | September 4, 2026 |
| Last updated | September 4, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Companion | 372600000X | — (OR) |
| Technician, Personal Care Attendant | 3747P1801X | — (OR) |
| Nurse's Aide | 376K00000X | — (OR) |
| Social Worker primary | 104100000X | — (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.