Myra Deline

Nurse Practitioner · Cottage Grove, OR

Individual Active NPI

NPI number 1689149361

Practice location

1515 Village Dr Ste 100
Cottage Grove, OR 97424-9700
Phone
(541) 767-5200
Fax
(541) 767-5288

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NPI record

NPI
1689149361
Entity type
Individual (Type 1)
Enumeration date
October 9, 2018
Last updated
October 18, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 201809683NP-PP OR
Registered Nurse 163W00000X 201808281RN OR

Mailing address

3614 Emerald St
Eugene, OR 97405-4329

Other practice locations (4)

  • 425 Alexander Loop, Eugene, OR 97401-6524 · (541) 345-6199
  • 2360 Chambers St, Eugene, OR 97405-1861 · (541) 687-1310
  • 180 Melton Rd, Creswell, OR 97426-9453 · (541) 222-7700
  • 38843 Dexter Rd, Dexter, OR 97431-9600 · (541) 937-2134

About Myra Deline

Myra Deline is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1515 Village Dr Ste 100, Cottage Grove, OR 97424-9700. The NPI number 1689149361 was assigned on October 9, 2018 and the record was last updated on October 18, 2019.

Myra Deline lists 2 licenses in the registry: #201809683NP-PP (OR) for Nurse Practitioner; #201808281RN (OR) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Myra Deline?

The NPI number is 1689149361.

What is the phone number of Myra Deline?

The phone number listed for the practice location is (541) 767-5200.

Where is Myra Deline located?

1515 Village Dr Ste 100, Cottage Grove, OR 97424-9700.

What is the taxonomy code for Myra Deline?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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