Individual
BRITTANY RALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1775 THOMPSON RD, COOS BAY, OR 97420-2198
(541) 269-8111
Mailing address
1775 THOMPSON RD, COOS BAY, OR 97420-2198
(541) 269-8111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
PA228572
OR
363A00000X
Physician Assistant
Primary
PA228572
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
03/12/2026
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