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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

DAVID J MIKULA, LCSW,CADC III,NCACII
146 E 12TH AVE
EUGENE, OR97401-3513
 Phone: 541-342-8437
 Fax: 541-342-1639
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for DAVID J MIKULA · (Male)

NPI Number 1386730968
Credentials LCSW,CADC III,NCACII
Entity Individual
Enumeration date 10/04/2006
Last updated 05/31/2012 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
OR License # 930203
OR License # L3369
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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