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OREGON COAST MIND AND BODY, LLC
NPI 1558120428
Nurse Practitioner - Psychiatric/Mental Health in Coos Bay, OR

Active since March 14, 2024
137 HALL AVE, COOS BAY, OR 97420(541) 236-2088(541) 931-8824 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Oregon Coast Mind And Body, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OREGON COAST MIND AND BODY, LLC (NPI 1558120428), doing business as Oregon Coast Mind And Body, is a healthcare organization registered as a psychiatric/mental health in Coos Bay, Oregon and active in the NPI registry since March 2024. The organization lists Alisse Diers, Owner, as its authorized official.

NPPES Registry Identity

NPI1558120428
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameOREGON COAST MIND AND BODY, LLC
Location Address137 HALL AVECoos Bay, OR 97420-1519
Mailing Address137 Hall AveCoos Bay, OR 97420-1519 · (541) 236-2088 · Fax (541) 931-8824
Phone(541) 236-2088
Fax(541) 931-8824
Organization SubpartNo
Authorized OfficialAlisse DiersOwner · (541) 236-2088
Enumeration DateMarch 14, 2024
NPPES CertifiedMarch 14, 2024
✔ NPI 1558120428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
137 HALL AVE, Coos Bay, OR 97420
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Other Names 1

Doing Business AsOregon Coast Mind And Body

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER THOMA RN, QMHP
Registered Nurse
137 HALL AVE
COOS BAY, OR 97420
Coos County (541) 236-2088
FLOWING FUNCTION LLC
Physical Therapist
137 HALL AVE
COOS BAY, OR 97420
Coos County (541) 236-4468
RACHEL SCHAEFER GLENN MA, LPC
Counselor (Mental Health)
137 HALL AVE
COOS BAY, OR 97420
Coos County (541) 435-1016
BRAINBOW FORGE
Social Worker (Clinical)
137 HALL AVE
COOS BAY, OR 97420
Coos County (541) 229-7879
MS. MARIENA STAR JOY LCSW
Social Worker (Clinical)
137 HALL AVE
COOS BAY, OR 97420
Coos County (541) 229-7879
DR. ALISSE ANNA DIERS DNP
Nurse Practitioner (Psychiatric/Mental Health)
137 HALL AVE
COOS BAY, OR 97420
Coos County (541) 236-2088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oregon Coast Mind And Body, LLC's NPI number?

The NPI number for Oregon Coast Mind And Body, LLC is 1558120428. It was assigned to this organization in the NPPES registry on March 14, 2024. The provider is doing business as Oregon Coast Mind and Body.

Where is Oregon Coast Mind And Body, LLC located?

Oregon Coast Mind And Body, LLC is located at 137 Hall Ave, Coos Bay, OR 97420. The listed phone number is (541) 236-2088.

What is Oregon Coast Mind And Body, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Oregon Coast Mind And Body, LLC was last updated on March 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.