Healthcare Provider Details

I. General information

NPI: 1922253202
Provider Name (Legal Business Name): DORA PARYS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DOROTA PARYS LCSW

II. Dates (important events)

Enumeration Date: 11/30/2008
Last Update Date: 11/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 W 10TH AVE STE 202
EUGENE OR
97401-3047
US

IV. Provider business mailing address

1357 W 4TH AVE
EUGENE OR
97402-4505
US

V. Phone/Fax

Practice location:
  • Phone: 541-515-3325
  • Fax: 541-338-7649
Mailing address:
  • Phone: 541-515-3325
  • Fax: 541-338-7649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberL3758
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: