Healthcare Provider Details

I. General information

NPI: 1790608230
Provider Name (Legal Business Name): MARCIA SELENE NAVARRO MERELLA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2655 MARTIN LUTHER KING JR BLVD
EUGENE OR
97401-5899
US

IV. Provider business mailing address

2190 LAURELHURST DR
EUGENE OR
97402-1211
US

V. Phone/Fax

Practice location:
  • Phone: 541-393-1440
  • Fax:
Mailing address:
  • Phone: 970-393-3996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: