person
Mark L. Van Over, FNP
Family Nurse Practitioner in Coos Bay, Oregon
NPI 1306015417

Mark L. Van Over is a Family Nurse Practitioner based in Coos Bay, OR and is specialized in Family. Mark L. Van Over practices in Coos Bay, OR and has the professional credentials of FNP. The NPI Number for Mark L. Van Over is 1306015417 and holds a License No. NP 17478 (Oregon).

The current practice location address for Mark L. Van Over is 1900 Woodland Dr, Coos Bay, OR and can be reached out via phone at 541-267-5151 and via fax at 541-266-4589. You can also correspond with Mark L. Van Over through the mailing address at 1900 WOODLAND DR, COOS BAY, OR - 97420-2045 (mailing address contact number: 541-267-5151).

Location: 1900 Woodland Dr, Coos Bay, OR, 97420-2045
person
Provider Profile Details
NPI Number
1306015417
Provider Name
Mark L. Van Over
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
1900 Woodland Dr, Coos Bay, OR, 97420-2045
Phone Number
541-267-5151
Fax Number
541-266-4589
Provider Enumeration Date
02/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1407812365 01 OR NORTH BEND MEDICAL CENTER GROUP NPI
500712548 05 OR
R0000WFBTV 01 OR NORTH BEND MEDICAL CENTER GROUP MEDICARE
161133 01 OR NORTH BEND MEDICAL CENTER GROUP MEDICAID
institution
Provider Business Practice Location Address Details
Address
1900 Woodland Dr
City
State
Zip
97420-2045
Phone Number
541-267-5151
Fax Number
541-266-4589
person
Provider Business Mailing Address Details
Address
1900 Woodland Dr
City
State
Zip
97420-2045
Phone Number
541-267-5151
Fax Number
541-266-4589
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
NP 17478 (California)
Definition
Definition to come...
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