DARYL GLEN OTTAWAY (NPI# 1316106479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316106479 |
| Entity Type | Individual |
| Full Name | DARYL GLEN OTTAWAY |
| Credential | RN |
| Practice Address |
3225 State Street Room 249 Salem OR 97301 |
| Mailing Address |
Po Box 14350 1776 Militia Way Salem OR 97309-5047 |
| Practice Telephone | 5035842284 |
| Practice Fax Number | 5035842293 |
| Mailing Telephone | 5035842284 |
| Mailing Fax Number | 5035842293 |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WX0106X |
Registered Nurse Specialization: Occupational Health |
200340189RN | OR | Nursing Service Providers |
| Street Address |
3225 STATE STREET ROOM 249 |
| City | SALEM |
| State | OR |
| Zip Code | 97301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 163WX0106X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Occupational Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751157 | Cassandra Joy Soffron | Registered Nurse | 352 Lafayette Street, Ellison Campus Center Suite 107, Salem, MA 01970 | 2020-05-13 |
| 1437214293 | Diane L. Cagle | Registered Nurse | 3180 Center St Ne, Salem, OR 97301-4532 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629282694 | Ann Helm | Registered Nurse | 1007 Third St, Lafayette, OR 97127-0760 | 2007-05-09 |
| 1841440831 | Carla Marks | Registered Nurse | 2650 Suzanne Way Ste 200, Eugene, OR 97408-7619 | 2008-09-25 |
| 1548479488 | Martha F Adams | Registered Nurse | Oregon State University, 201 Plageman, Corvallis, OR 97331 | 2007-05-21 |
| 1104046432 | Anna Taylor Torres | Registered Nurse | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2007-04-27 |
Please comment or provide details below to improve the information on DARYL GLEN OTTAWAY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.