Basic Information
Provider Information
NPI: 1174875934
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CURRY
FirstName: NELYA
MiddleName: DROFYAK
NamePrefix:  
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: DROFYAK
OtherFirstName: NELYA
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: PA-C
OtherLastNameType: 1
Mailing Information
Address1: PO BOX 1648
Address2:  
City: EUGENE
State: OR
PostalCode: 974401648
CountryCode: US
TelephoneNumber: 5416874900
FaxNumber:  
Practice Location
Address1: 1835 PEARL ST
Address2:  
City: EUGENE
State: OR
PostalCode: 974018217
CountryCode: US
TelephoneNumber: 5416871668
FaxNumber: 5416843061
Other Information
ProviderEnumerationDate: 10/03/2012
LastUpdateDate: 09/28/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/28/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101Y00000X  N Behavioral Health & Social Service ProvidersCounselor 
363A00000X184333ORY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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