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South Coast Dermatology Llc
Adult Health Nurse Practitioner in Coos Bay, Oregon
NPI 1114567377

South Coast Dermatology Llc is an Adult Health Nurse Practitioner based in Coos Bay, OR and is specialized in Adult Health. South Coast Dermatology Llc practices in Coos Bay, OR. The NPI Number for South Coast Dermatology Llc is 1114567377 and holds a License No. (Oregon).

The current practice location address for South Coast Dermatology Llc is 620 Commercial Ave, Coos Bay, OR and can be reached out via phone at 541-808-3860.

Location: 620 Commercial Ave, Coos Bay, OR, 97420-1846
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114567377
Provider Name
South Coast Dermatology Llc
Credential
Provider Entity Type
Organization
Address
620 Commercial Ave, Coos Bay, OR, 97420-1846
Phone Number
541-808-3860
Fax Number
Provider Enumeration Date
01/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
620 Commercial Ave
City
Coos Bay
State
Oregon
Zip
97420-1846
Phone Number
541-808-3860
Fax Number
person
Provider Business Mailing Address Details
Address
620 Commercial Ave
City
Coos Bay
State
Oregon
Zip
97420-1846
Phone Number
541-808-3860
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
()
Definition
Definition to come...
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