Individual
ABBY LEE COATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1333 E BARNETT RD, MEDFORD, OR 97504-8219
(541) 779-4711
(541) 618-1485
Mailing address
1333 E BARNETT RD, MEDFORD, OR 97504-8219
(541) 779-4711
(541) 618-1485
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01064
OR
363AM0700X
Medical Physician Assistant
PA01064
OR
363AS0400X
Surgical Physician Assistant
PA01064
OR
Other
Enumeration date
10/17/2006
Last updated
01/14/2011
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