1041C0700X
Coos Bay, OR
Specialty
1041C0700X
Credential
LCSW
NPI
1245271246
1900 Woodland Dr, Coos Bay, OR 97420
(541) 267-5151Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 1041c0700x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 1041C0700X