Provider Demographics
NPI:1740585314
Name:ZELIKMAN, INNA PAVLOVNA (NP)
Entity type:Individual
Prefix:MRS
First Name:INNA
Middle Name:PAVLOVNA
Last Name:ZELIKMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1725 PEARL ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-4118
Mailing Address - Country:US
Mailing Address - Phone:415-902-9076
Mailing Address - Fax:458-320-0023
Practice Address - Street 1:1725 PEARL ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-4118
Practice Address - Country:US
Practice Address - Phone:415-902-9076
Practice Address - Fax:458-320-0023
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-12
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP13558363LP0808X
CA13558363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health