Organization
RIVERS EDGE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WILLIAM GERBER MD (OWNER)
(541) 269-5333
Entity
Organization
Contact information
Practice address
2690 N 17TH ST, COOS BAY, OR 97420
(541) 269-5333
(541) 269-5609
Mailing address
2690 N 17TH ST, COOS BAY, OR 97420-2134
(541) 269-5333
(541) 269-5609
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500754219
—
OR
05
—
500754223
—
OR
Enumeration date
08/08/2018
Last updated
04/17/2020
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