Basic Information
Provider Information
NPI: 1679617807
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GAJEWSKI-DOWNS
FirstName: JANET
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: R.N.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 464 KNOOP LN
Address2:  
City: EUGENE
State: OR
PostalCode: 974043139
CountryCode: US
TelephoneNumber: 5416898007
FaxNumber:  
Practice Location
Address1: 1790 W 11TH AVE STE 290
Address2:  
City: EUGENE
State: OR
PostalCode: 974023759
CountryCode: US
TelephoneNumber: 5416861262
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/19/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X ORY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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