Healthcare Provider Details

I. General information

NPI: 1023960606
Provider Name (Legal Business Name): MISS KALPANA NAICKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2026
Last Update Date: 02/13/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 SE JACKSON ST
ROSEBURG OR
97470-3341
US

IV. Provider business mailing address

1944 KAPELA CT
SUTHERLIN OR
97479-9105
US

V. Phone/Fax

Practice location:
  • Phone: 541-464-6406
  • Fax:
Mailing address:
  • Phone: 541-580-5636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: