Individual
DR. STANLEY C PENSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
209 N CENTRAL BLVD, COQUILLE, OR 97423-1274
(541) 329-0144
(541) 824-0460
Mailing address
PO BOX 194, COQUILLE, OR 97423-0194
(541) 329-0144
(541) 824-0460
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD175323
OR
208D00000X
General Practice Physician
Primary
MD175323
OR
Other
Enumeration date
02/10/2006
Last updated
07/30/2025
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