Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cornelius Olufarati

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1770464778

Cornelius Olufarati is a Nurse Practitioner in Eugene, Oregon. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2025
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Practice location Address checks out

1755 Coburg Rd Unit 301
Eugene, OR 97401-4900
Phone: (888) 468-9669
Fax: (541) 632-4858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1206232 (TX)

Record details

NPI number1770464778
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 8, 2025
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026
Mailing address110 Bower Bloom Dr, Rosharon, TX 77583-1690

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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