Individual provider · Type 1 NPI

Myra Deline

Nurse Practitioner · Cottage Grove, OR

NPI number 1689149361 Active

Practice location

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

Fax (541) 767-5288

Mailing address

3614 Emerald St
Eugene, OR 97405-4329

Other practice locations

  • 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

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X201808281RN (OR)
Nurse Practitioner Primary 363L00000X201809683NP-PP (OR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1689149361

Myra Deline's National Provider Identifier is 1689149361, issued on Oct 9, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cottage Grove, OR. The record was last updated on Oct 18, 2019.