Individual
DAR'YA RAISA GROZOVSKAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
105 ARNEY RD STE 130, WOODBURN, OR 97071-9472
(503) 902-3900
(503) 480-1841
Mailing address
3541 CONCORD ST, EUGENE, OR 97402-1666
(541) 510-1887
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10019888
OR
363LP2300X
Primary Care Nurse Practitioner
Primary
10019888
OR
Other
Enumeration date
08/21/2023
Last updated
06/06/2024
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