Organization
COASTAL ROOTS PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY ANNE PHILLIPS PMHNP-BC (PMHNP)
(541) 294-7215
Entity
Organization
Contact information
Practice address
180 S EMPIRE BLVD, COOS BAY, OR 97420-3352
(541) 543-2066
(503) 465-3842
Mailing address
180 S EMPIRE BLVD, COOS BAY, OR 97420-3352
(541) 543-2066
(503) 465-3842
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
09/15/2025
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