Healthcare Provider Details

I. General information

NPI: 1437510765
Provider Name (Legal Business Name): LINDA MCINTYRE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2016
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2846 WILLAMETTE ST
EUGENE OR
97405-8200
US

IV. Provider business mailing address

505 E CLINTON ST
CLINTON MO
64735-2233
US

V. Phone/Fax

Practice location:
  • Phone: 541-222-8700
  • Fax: 541-222-8701
Mailing address:
  • Phone: 660-351-0995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP.AP.70029248-NP
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number201602597NP-PP
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2016007859
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: