Jay L Blake, NP
Nurse Practitioner in Eugene, Oregon
1619284742- 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, NP is a Nurse Practitioner based in Eugene, OR. Jay L Blake, NP holds the professional credentials of NP. The NPI number for Jay L Blake, NP is 1619284742 and holds license No. 10042189 (OR). The current practice location address is 920 Country Club RD Ste 140A, Eugene, OR 97401-6024 and the office can be reached by phone at 971-915-8585 and by fax at 503-362-8435. The NPI was assigned on September 10, 2010 and the record was last updated in NPPES on June 10, 2026.
●Provider Profile Details
- NPI Number
- 1619284742
- Provider Name
- Jay L Blake
- Credential
- NP
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Enumeration Date
- September 10, 2010
- Last Update Date
- June 10, 2026
- Certification Date
- June 10, 2026
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 920 Country Club RD Ste 140A
Eugene, OR 97401-6024 - City
- Eugene
- State
- Oregon
- ZIP
- 97401-6024
- Country
- US
- Phone Number
- 971-915-8585
- Fax Number
- 503-362-8435
✉Business Mailing Address
- 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
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Yes | 10042189 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers 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) and holds license No. 10042189 (OR).
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 at npiregistry.cms.hhs.gov.