Individual
CHRISTOPHER HALES RIEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1900 WOODLAND DR, COOS BAY, OR 97420-2045
(541) 267-5151
(541) 266-4501
Mailing address
1900 WOODLAND DR, COOS BAY, OR 97420-2045
(541) 267-5151
(541) 266-4501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA150483
OR
363AS0400X
Surgical Physician Assistant
Primary
PA150483
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407812365
GROUP NPI NORTH BEND MEDICAL CENTER
OR
01
—
161133
GROUP MEDICAID
OR
05
—
500615156
—
OR
01
—
930635514
GROUP TAX FOR BILLING NORTH BEND MEDICAL CENTER
OR
01
—
P01220509
RAILROAD MEDICARE
OR
01
—
R0000WFBTV
GROUP MEDICARE NORTH BEND MEDCAL CENTER
OR
Enumeration date
10/28/2009
Last updated
11/08/2013
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