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Individual

CA DJURKOVIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
QMHA-R, PSS,

Contact information

Practice address
2411 MLK BLVD, EUGENE, OR 97401-5824
(541) 342-8255
Mailing address
341 E 12TH AVE, EUGENE, OR 97401-3212

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
175T00000X
Peer Specialist
Primary
THW000104697
OR

Other

Enumeration date
03/30/2022
Last updated
03/20/2025
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