Individual
KEITHLEE GAEL ORPILLA DOLINTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1900 WOODLAND DR, COOS BAY, OR 97420-2099
(541) 267-5151
(541) 266-4566
Mailing address
1900 WOODLAND DR, COOS BAY, OR 97420-2099
(541) 267-5151
(541) 266-4566
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
BP10063425
TX
208000000X
Pediatrics Physician
Primary
DO204420
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500792929
—
OR
Enumeration date
05/08/2018
Last updated
06/11/2021
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