Individual provider · Type 1 NPI
Jacob Ryan Stradling, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Coos Bay, OR
NPI number
1124704895
Active
Practice location
281 Laclair St
Coos Bay, OR 97420-2988
Fax (541) 888-8726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 10045770 (OR) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 294125 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
50 other providers at this address
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About NPI 1124704895
Jacob Ryan Stradling, PMHNP's National Provider Identifier is 1124704895, issued on Jun 26, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Coos Bay, OR. The record was last updated on Oct 13, 2025.