Organization · Type 2 NPI
South Coast Dermatology LLC
Adult Health Nurse Practitioner · Coos Bay, OR
NPI number
1114567377
Active
Practice location
620 Commercial Ave
Coos Bay, OR 97420-1846
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | None listed |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1114567377
South Coast Dermatology LLC's National Provider Identifier is 1114567377, issued on Jan 15, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Coos Bay, OR. The record was last updated on Jan 15, 2020.