101YM0800X
Coos Bay, OR
Specialty
101YM0800X
Credential
LPC, ADC
NPI
1992410401
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 101ym0800x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 101YM0800X