Individual
PAULETTA J TOKICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP
Contact information
Practice address
209 N CENTRAL BLVD, COQUILLE, OR 97423-1274
(541) 329-0144
(541) 329-0142
Mailing address
PO BOX 194, COQUILLE, OR 97423-0194
(541) 329-0144
(541) 329-0142
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200840133RN
OR
363LF0000X
Family Nurse Practitioner
Primary
200850010NP
OR
363LF0000X
Family Nurse Practitioner
AP30007496
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407812365
NBMC GROUP NPI NUMBER
OR
05
—
218436
—
OR
05
—
9652454
—
WA
01
—
R0000WFBTV
MEDICARE GROUP PIN NUMBER
OR
Enumeration date
09/22/2006
Last updated
02/01/2023
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