Provider Demographics
NPI:1265067110
Name:ASTRID WOLF-O'HERN LMFT
Entity type:Organization
Organization Name:ASTRID WOLF-O'HERN LMFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ASTRID
Authorized Official - Middle Name:EVA
Authorized Official - Last Name:WOLF-O'HERN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-267-4811
Mailing Address - Street 1:984 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-2829
Mailing Address - Country:US
Mailing Address - Phone:603-267-4811
Mailing Address - Fax:
Practice Address - Street 1:272 W 11TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3031
Practice Address - Country:US
Practice Address - Phone:603-267-4811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-10
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty