171M00000X
Coos Bay, OR
Specialty
171M00000X
Credential
RN
NPI
1992003180
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 171m00000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 171M00000X