| NPI | 1558120428 |
|---|---|
| Doing Business As | OREGON COAST MIND AND BODY |
| Entity Type | Organization |
| Authorized Contact | ALISSE DIERS Owner 541-236-2088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2024-03-14 |