Organization
OREGON COAST MIND AND BODY, LLC
Active
Other names
Oregon Coast Mind and Body
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISSE DIERS DNP (OWNER)
(541) 236-2088
Entity
Organization
Contact information
Practice address
137 HALL AVE, COOS BAY, OR 97420-1519
(541) 236-2088
(541) 931-8824
Mailing address
137 HALL AVE, COOS BAY, OR 97420-1519
(541) 236-2088
(541) 931-8824
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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