person
Mr. Shinichi Daimyo, PMHNP-BC,CRNP
Psychiatric/Mental Health Nurse Practitioner in Eugene, Oregon
NPI 1275041477

Shinichi Daimyo is a Psychiatric/Mental Health Nurse Practitioner based in Boston, OR and is specialized in Psychiatric/Mental Health. Shinichi Daimyo practices in Eugene, OR and has the professional credentials of PMHNP-BC,CRNP. The NPI Number for Shinichi Daimyo is 1275041477 and holds a License No. 101.0134731 (Oregon).

The current practice location address for Shinichi Daimyo is 132 E Broadway Ste 810, Eugene, OR and can be reached out via phone at 541-357-9433.

Location: 132 E Broadway Ste 810, Eugene, OR, 02132-7703
person
Provider Profile Details
NPI Number
1275041477
Provider Name
Shinichi Daimyo
Credential
PMHNP-BC,CRNP
Provider Entity Type
Individual
Gender
Male
Address
132 E Broadway Ste 810, Eugene, OR, 02132-7703
Phone Number
541-357-9433
Fax Number
Provider Enumeration Date
01/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
132 E Broadway Ste 810
City
State
Zip
97401-3160
Phone Number
541-357-9433
Fax Number
person
Provider Business Mailing Address Details
Address
132 E Broadway Ste 810
City
State
Zip
97401-3160
Phone Number
541-357-9433
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
101.0134731 (Vermont)
Definition
Definition to come...
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