REBECCA HARTLEY
NPI 1053779736
Counselor - Mental Health in Coos Bay, OR
Active since February 09, 2016
About Rebecca Hartley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REBECCA HARTLEY (NPI 1053779736) is an individual mental health provider in Coos Bay, Oregon and active in the NPI registry since February 2016.
NPPES Registry Identity
NPI1053779736
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameREBECCA HARTLEY
Location Address1885 THOMPSON RDCoos Bay, OR 97420-2152
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170
Phone(541) 266-8480
Fax(541) 266-8479
Sole ProprietorNo
Enumeration DateFebruary 9, 2016
Last NPPES UpdateOctober 24, 20162 updates tracked since enumeration
✔ NPI 1053779736 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1885 THOMPSON RD, Coos Bay, OR 97420
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Community Based Residential Treatment Facility, Mental Illness
1885 THOMPSON RD
COOS BAY, OR 97420
COOS BAY, OR 97420
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053779736, enumerated as an "individual" on February 09, 2016.
The provider is located at 1885 THOMPSON RD COOS BAY, OR 97420 and the phone number is (541) 266-8480.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.