- Practice location
- 920 Country Club RD Ste 140A, Eugene, OR 97401-6024
- Phone
- 971-915-8585
- Fax
- 503-362-8435
- Last updated
- June 10, 2026
Jay L Blake is a Nurse Practitioner based in Eugene, OR. Jay L Blake practices in Eugene, OR and has the professional credentials of NP. The NPI Number for Jay L Blake is 1619284742 and holds a License No. 10042189 (OR). The current practice location address for Jay L Blake is 920 Country Club RD Ste 140A, Eugene, OR 97401-6024 and can be reached out via phone at 971-915-8585 and via fax at 503-362-8435.
Provider Profile Details
- NPI Number
- 1619284742
- Provider Name
- Jay L Blake
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 920 Country Club RD Ste 140A, Eugene, OR 97401-6024
- Phone Number
- 971-915-8585
- Fax Number
- 503-362-8435
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 10, 2010
- Last Update Date
- June 10, 2026
- Certification Date
- June 10, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 920 Country Club RD Ste 140A
Eugene, OR 97401-6024 - City
- Eugene
- State
- Oregon
- Zip
- 97401-6024
- Phone Number
- 971-915-8585
- Fax Number
- 503-362-8435
Provider Business Mailing Address Details
- Address
- 1793 13TH St SE
Salem, OR 97302-2541 - City
- Salem
- State
- OR
- Zip
- 97302-2541
- Phone Number
- 503-362-8385
- Fax Number
- 503-362-8435
License Information
- License Number
- 10042189
- License State
- OR
- Taxonomy
- Nurse Practitioner · 363L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioners near Eugene, OR
View all Nurse Practitioners in Eugene →Frequently Asked Questions
What is the NPI number of Jay L Blake, NP?
The NPI number of Jay L Blake, NP is 1619284742. It was assigned on September 10, 2010 and is currently active in the NPPES registry.
What is the specialty of Jay L Blake, NP?
Jay L Blake, NP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in OR under license number 10042189.
Where does Jay L Blake, NP practice?
The practice location is 920 Country Club RD Ste 140A, Eugene, OR 97401-6024. The office can be reached at 971-915-8585 (phone) or 503-362-8435 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619284742 directly on the NPPES registry website.