Basic Information
Provider Information
NPI: 1326089509
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CURRIE
FirstName: YARROW
MiddleName: NINA
NamePrefix:  
NameSuffix:  
Credential: L.C.S.W.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1721
Address2:  
City: WALDPORT
State: OR
PostalCode: 973941721
CountryCode: US
TelephoneNumber: 5415638793
FaxNumber:  
Practice Location
Address1: 36 SW NYE ST
Address2:  
City: NEWPORT
State: OR
PostalCode: 973653821
CountryCode: US
TelephoneNumber: 5412656611
FaxNumber: 5415746252
Other Information
ProviderEnumerationDate: 06/09/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XL3746ORY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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