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Individual

JACOB RYAN STRADLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
281 LACLAIR ST, COOS BAY, OR 97420-2988
(541) 266-6733
(541) 888-8726
Mailing address
281 LACLAIR ST, COOS BAY, OR 97420-2988
(541) 266-6700
(541) 888-8726

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10045770
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
294125
AZ

Other

Enumeration date
06/26/2023
Last updated
10/13/2025
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