Mr Shinichi Daimyo, PMHNP-BC, CRNP - Nurse Practitioner in Eugene, OR

Mr Shinichi Daimyo, PMHNP-BC, CRNP is a Nurse Practitioner - Psychiatric/mental Health based in Eugene, Oregon. Mr Shinichi Daimyo is licensed to practice in Oregon (license number 202112981NP-PP) and his current practice location is 132 E Broadway Ste 810, Eugene, Oregon. He can be reached at his office (for appointments etc.) via phone at (541) 357-9433.

NPI number for Mr Shinichi Daimyo is 1275041477 and his current mailing address is 16 Alward Rd, Boston, Massachusetts. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275041477.

Contact Information

Mr Shinichi Daimyo, PMHNP-BC, CRNP
132 E Broadway Ste 810,
Eugene, OR 97401-3160
(541) 357-9433
Not Available

Map and Direction




Provider's Profile

Full NameMr Shinichi Daimyo
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location132 E Broadway Ste 810, Eugene, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1275041477
  • Provider Enumeration Date: 01/22/2018
  • Last Update Date: 12/25/2023

Medical Identifiers

Medical identifiers for Mr Shinichi Daimyo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275041477NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 101.0134731 (Vermont)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP61136881 (Washington)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 084400-23 (New Hampshire)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health RN2323354 (Massachusetts)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health CNP211039 (Maine)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health SP019201 (Pennsylvania)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health RN1061501 (District Of Columbia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health F403863-01 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 202112981NP-PP (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Shinichi Daimyo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Shinichi Daimyo, PMHNP-BC, CRNP
16 Alward Rd,
Boston, MA 02132-7703

Ph: (617) 237-0455
Mr Shinichi Daimyo, PMHNP-BC, CRNP
132 E Broadway Ste 810,
Eugene, OR 97401-3160

Ph: (541) 357-9433

Reviews and Comments


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