Healthcare Provider Details

I. General information

NPI: 1932612355
Provider Name (Legal Business Name): DANA LYNN OMARY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2017
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 MILL ST
EUGENE OR
97401-4259
US

IV. Provider business mailing address

1070 W 10TH AVE
EUGENE OR
97402-4702
US

V. Phone/Fax

Practice location:
  • Phone: 541-484-4800
  • Fax:
Mailing address:
  • Phone: 808-896-4565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number201709247NP-PP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: