Mr. Connor C Balderston
Community Health Worker in Eugene, Oregon
1710614201- Practice location
- 151 W 7TH Ave, Suite #310, Eugene, OR 97401
- Phone
- 541-682-4041
- Fax
- 541-682-2455
- Last updated
- August 17, 2022
Mr. Connor C Balderston is a Community Health Worker based in Eugene, OR. The NPI number for Mr. Connor C Balderston is 1710614201 and holds license No. 106650 (OR). The current practice location address is 151 W 7TH Ave, Suite #310, Eugene, OR 97401 and the office can be reached by phone at 541-682-4041 and by fax at 541-682-2455. The NPI was assigned on August 4, 2022 and the record was last updated in NPPES on August 17, 2022.
●Provider Profile Details
- NPI Number
- 1710614201
- Provider Name
- Connor Charles Balderston
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Community Health Worker · 172V00000X
- Sole Proprietor
- Yes
- Enumeration Date
- August 4, 2022
- Last Update Date
- August 17, 2022
- Certification Date
- August 17, 2022
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 151 W 7TH Ave
Suite #310
Eugene, OR 97401 - City
- Eugene
- State
- Oregon
- ZIP
- 97401
- Country
- US
- Phone Number
- 541-682-4041
- Fax Number
- 541-682-2455
✉Business Mailing Address
- Address
- 151 W 7TH Ave
Suite #310
Eugene, OR 97401 - City
- Eugene
- State
- OR
- ZIP
- 97401
- Phone Number
- 541-682-4041
- Fax Number
- 541-682-2455
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes | 106650 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Eugene →?Frequently Asked Questions
What is the NPI number of Mr. Connor C Balderston?
The NPI number of Mr. Connor C Balderston is 1710614201. It was assigned on August 4, 2022 and is currently active in the NPPES registry.
What is the specialty of Mr. Connor C Balderston?
Mr. Connor C Balderston is registered under the primary taxonomy Community Health Worker (code 172V00000X) and holds license No. 106650 (OR).
Where does Mr. Connor C Balderston practice?
The practice location is 151 W 7TH Ave, Suite #310, Eugene, OR 97401. The office can be reached at 541-682-4041 (phone) or 541-682-2455 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710614201 directly on the NPPES registry website at npiregistry.cms.hhs.gov.