Individual provider · Type 1 NPI

Melissa Derhak, LPN

Licensed Practical Nurse · Eugene, OR

NPI number 1174974307 Active

Practice location

715 Lincoln St
Eugene, OR 97401-2502

Call (541) 344-3574 Map

Fax (541) 344-5652

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X201330198 (OR)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1174974307

Melissa Derhak, LPN's National Provider Identifier is 1174974307, issued on Jun 29, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Eugene, OR. The record was last updated on Jun 29, 2016.