Provider Demographics
NPI:1568550432
Name:VALLEY, DARBY (LAC, DAOM)
Entity Type:Individual
Prefix:DR
First Name:DARBY
Middle Name:
Last Name:VALLEY
Suffix:
Gender:M
Credentials:LAC, DAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 S 13TH ST
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:OR
Mailing Address - Zip Code:97424-2313
Mailing Address - Country:US
Mailing Address - Phone:541-521-0332
Mailing Address - Fax:
Practice Address - Street 1:2401 RIVER RD
Practice Address - Street 2:SUITE 101
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97404-5414
Practice Address - Country:US
Practice Address - Phone:541-357-8852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2010-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6898171100000X
MO2003003449171100000X
ORAC140938171100000X
NY003594171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist