Daryl Glen Ottaway, RN

Primary specialty

Occupational Health Registered NurseTaxonomy code 163WX0106X

License

200340189RN Issued in OR

Practice address

3225 State Street
Room 249
Salem, OR 97301

Phone

(503) 584-2284

Fax

(503) 584-2293

NPI assigned

Jun 4, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1316106479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14350",
            "address_2": "1776 MILITIA WAY",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973095047",
            "telephone_number": "503-584-2284",
            "fax_number": "503-584-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 STATE STREET",
            "address_2": "ROOM 249",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "telephone_number": "503-584-2284",
            "fax_number": "503-584-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTAWAY",
        "first_name": "DARYL",
        "middle_name": "GLEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "OR",
            "license": "200340189RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oswego Place Assisted Living Community LLC
• Patricia Sue Otis, M.D.
• Andrea Lynn Otken, DC
• Christina Renee Otoole, MA SLP-CCC
• Ashley Taylor Ott
• Tiffany Teele Ottis, BA
• Ous Oregon Institute of Technology
• Justin Outland
• Mary Kathryn Outland, MSW, LCSW
• Rachel Overall

• Occupational Health Registered Nurse in Salem, OR
• Providers in Salem, OR by specialty
• Occupational Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.