Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andreas Hennig

Individual provider Surgery Physician · NPI 1366897399

Andreas Hennig is a General Surgery in Portland, Oregon. Qualified in 2016, 10 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Idaho.

Years since qualifying
10
Licensed in
CO, ID
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

783 NW Naito Pkwy Apt 502
Portland, OR 97209-4755
Phone: (619) 733-4150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 520 S Eagle Rd Ste 1241, Meridian, ID 83642-6355 — (208) 381-6930

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence TL.0005906 (CO)
Surgery Physician Taxonomy 208600000X · Licence O-1983 (ID)

Record details

NPI number1366897399
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 27, 2016
Last updated in NPPESMay 21, 2024
Certification dateMay 21, 2024
Mailing address783 Nw Naito Pkwy Apt 502, Portland, OR 97209-4755

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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