Individual
JESSE L WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
281 LACLAIR ST, COOS BAY, OR 97420-2988
(541) 266-6750
Mailing address
281 LACLAIR ST, COOS BAY, OR 97420-2988
(541) 266-6750
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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