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CA DJURKOVIC QMHA-R, PSS,
NPI 1912647892
Peer Specialist in Eugene, OR

Active since March 30, 2022
2411 MLK BLVD, EUGENE, OR 97401(541) 342-8255 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ca Djurkovic Qmha-r, Pss, NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CA DJURKOVIC QMHA-R, PSS, (NPI 1912647892) is an individual peer specialist in Eugene, Oregon, licensed in Oregon (THW000104697) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1912647892
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameCA DJURKOVICCredential: QMHA-R, PSS,
Location Address2411 MLK BLVDEugene, OR 97401-5824
Mailing Address341 E 12th AveEugene, OR 97401-3212
Phone(541) 342-8255
Sole ProprietorNo
Enumeration DateMarch 30, 2022
Last NPPES UpdateMarch 20, 2025
NPPES CertifiedMarch 20, 2025
✔ NPI 1912647892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · THW000104697
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2411 MLK BLVD, Eugene, OR 97401
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRENDA KAY BENTLEY PWS, PSS
Peer Specialist
2411 MLK BLVD
EUGENE, OR 97401
Lane County (541) 682-3550
MR. THOMAS WILLIAM BRUNDAGE IV REV., CSW
Counselor (Mental Health)
2411 MLK BLVD
EUGENE, OR 97401
Lane County (541) 682-3608
CLAIRE MCCONAHAY
Student in an Organized Health Care Education/Training Program
2411 MLK BLVD
EUGENE, OR 97401
Lane County (541) 682-3608
BRENNA K. WINN
Counselor (Mental Health)
2411 MLK BLVD
EUGENE, OR 97401
Lane County (541) 682-3608

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ca Djurkovic's NPI number?

The NPI number for Ca Djurkovic is 1912647892. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Where is Ca Djurkovic located?

Ca Djurkovic practices at 2411 Mlk Blvd, Eugene, OR 97401. The listed phone number is (541) 342-8255.

What is Ca Djurkovic's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Ca Djurkovic was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.