Individual
MR. JESSE ALLEN DORFMEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1900 WOODLAND DR, COOS BAY, OR 97420-2045
(541) 267-5151
Mailing address
95022 COUNTRY LN, COOS BAY, OR 97420-7376
(302) 757-9874
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201709649NP-PP
OR
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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