Healthcare Provider Details

I. General information

NPI: 1467328484
Provider Name (Legal Business Name): NADAV SHLOMO KLAPPHOLZ-COMPTON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2025
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 E 11TH AVE
EUGENE OR
97401-3746
US

IV. Provider business mailing address

2575 VAN BUREN ST
EUGENE OR
97405-2274
US

V. Phone/Fax

Practice location:
  • Phone: 458-205-7013
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number202200536RN
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: