Provider Demographics
NPI:1124734769
Name:TUBBEH, SAHLEA (CHW)
Entity type:Individual
Prefix:
First Name:SAHLEA
Middle Name:
Last Name:TUBBEH
Suffix:
Gender:F
Credentials:CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3983 ONYX ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-4623
Mailing Address - Country:US
Mailing Address - Phone:505-803-6182
Mailing Address - Fax:
Practice Address - Street 1:151 W 7TH AVE STE 560
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-1100
Practice Address - Country:US
Practice Address - Phone:458-217-4412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORTHW000108222172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORTHW000108222OtherOREGON HEALTH AUTHORITY TRADITIONAL HEALTH WORKER REGISTRY