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MELISSA DERHAK LPN
NPI 1174974307
Licensed Practical Nurse in Eugene, OR

Active since June 29, 2016
715 LINCOLN ST, EUGENE, OR 97401(541) 344-3574(541) 344-5652 Get Directions Write a Review

NPPES record last updated: June 29, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Melissa Derhak Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA DERHAK LPN (NPI 1174974307) is an individual licensed practical nurse in Eugene, Oregon, licensed in Oregon (201330198) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1174974307
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMELISSA DERHAKCredential: LPN
Location Address715 LINCOLN STEugene, OR 97401-2502
Mailing Address715 Lincoln StEugene, OR 97401-2502 · (541) 344-3574 · Fax (541) 344-5652
Phone(541) 344-3574
Fax(541) 344-5652
Sole ProprietorYes
Enumeration DateJune 29, 2016
✔ NPI 1174974307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OR · 201330198
Definition
A licensed practical nurse 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.
715 LINCOLN ST, Eugene, OR 97401
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Other Identifiers 1

Medicaid230475OR

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INTEGRATED HEALTH CLINICS OF EUGENE
Clinic/Center (Methadone)
715 LINCOLN ST
EUGENE, OR 97401
Lane County (541) 344-3574
MRS. DENISE LEANN MARSH
Counselor (Addiction (Substance Use Disorder))
715 LINCOLN ST
EUGENE, OR 97401
Lane County (541) 344-3574
INTEGRATED HEALTH MANAGEMENT
Community/Behavioral Health
715 LINCOLN ST
EUGENE, OR 97401
Lane County (541) 344-3574
MICHAEL J QUERUBIN
Counselor (Addiction (Substance Use Disorder))
715 LINCOLN ST
EUGENE, OR 97401
Lane County (541) 344-3574
BONNIE MCKINNEY
Counselor (Addiction (Substance Use Disorder))
715 LINCOLN ST
EUGENE, OR 97401
Lane County (541) 521-4173
MR. MICAH DOMINIC ECKBURG I PSS
Peer Specialist
715 LINCOLN ST
EUGENE, OR 97401
Lane County (541) 344-3574

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Derhak's NPI number?

The NPI number for Melissa Derhak is 1174974307. It was assigned to this individual provider in the NPPES registry on June 29, 2016.

Where is Melissa Derhak located?

Melissa Derhak practices at 715 Lincoln St, Eugene, OR 97401. The listed phone number is (541) 344-3574.

What is Melissa Derhak's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Melissa Derhak was last updated on June 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.