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Mitaliben Rajendrakumar Gor, NP
Family Nurse Practitioner in Coos Bay, Oregon
NPI 1114564630

Mitaliben Rajendrakumar Gor is a Family Nurse Practitioner based in Coos Bay, OR and is specialized in Family. Mitaliben Rajendrakumar Gor practices in Coos Bay, OR and has the professional credentials of NP. The NPI Number for Mitaliben Rajendrakumar Gor is 1114564630 and holds a License No. 201909528NP-PP (Oregon).

The current practice location address for Mitaliben Rajendrakumar Gor is 1900 Woodland Dr, Coos Bay, OR and can be reached out via phone at 541-267-5151.

Location: 1900 Woodland Dr, Coos Bay, OR, 97420-3408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114564630
Provider Name
Mitaliben Rajendrakumar Gor
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1900 Woodland Dr, Coos Bay, OR, 97420-3408
Phone Number
541-267-5151
Fax Number
Provider Enumeration Date
12/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1900 Woodland Dr
City
Coos Bay
State
Oregon
Zip
97420-2099
Phone Number
541-267-5151
Fax Number
person
Provider Business Mailing Address Details
Address
1900 Woodland Dr
City
Coos Bay
State
Oregon
Zip
97420-2099
Phone Number
541-267-5151
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
201909528NP-PP (Oregon)
Definition
Definition to come...
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