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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MYRA DELINE

Active

MYRA DELINE is a Nurse Practitioner healthcare provider located in COTTAGE GROVE, Oregon. NPI 1689149361 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · COTTAGE GROVE, OR

Registration Details

NPI Number
1689149361
Provider Type
Individual
Gender
Female
NPI Issued
Oct 9, 2018 (7.8403587396728 yrs)
Last Updated
Oct 18, 2019
Licenses
201808281RN (OR)
201809683NP-PP (OR)

Practice Information

Address
1515 VILLAGE DR STE 100
COTTAGE GROVE, OR, 974249700
Browse OR providers · Browse ZIP 97424
Phone
5417675200
Fax
5417675288
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in COTTAGE GROVE, OR

Name Credential NPI
ELAINE M. OLEKSICK 1417991266
MISS LISA M PARKER FNP-BC 1831422336
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.