Deline, Myra

Deline, Myra is an individual health care provider with primary practice located at 1515 Village Dr Ste 100 , Cottage Grove OR 97424-9700. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Deline, Myra can be contacted via phone (541) 767-5200.

Contact Information

Primary practice address
1515 Village Dr Ste 100 Cottage Grove OR 97424-9700
Phone: (541) 767-5200
Fax: (541) 767-5288
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 201808281RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201809683NP-PP Oregon

Profile Details

NPI number 1689149361
LBN Legal business name Deline, Myra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2018
Last updated Oct 18th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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