ACESO MEDICAL CLINIC LLC
NPI 1790499663
Nurse Practitioner - Family in Coos Bay, OR

Active since January 05, 2023
375 PARK AVE, COOS BAY, OR 97420(773) 996-0242 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Aceso Medical Clinic Llc NPPES

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

ACESO MEDICAL CLINIC LLC (NPI 1790499663) is a healthcare organization registered as a family in Coos Bay, Oregon and active in the NPI registry since January 2023. The organization lists Shirley Reynolds, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1790499663
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameACESO MEDICAL CLINIC LLC
Location Address375 PARK AVECoos Bay, OR 97420-2244
Mailing Address998 Inlet LoopCoos Bay, OR 97420-4446 · (773) 996-0242
Organization SubpartNo
Authorized OfficialShirley ReynoldsFamily Nurse Practitioner · (773) 996-0242
Enumeration DateJanuary 5, 2023
NPPES CertifiedJanuary 5, 2023
NPI 1790499663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
375 PARK AVE, Coos Bay, OR 97420

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

Accepted Insurance

Other Providers at the Same Location NPPES 7

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

Counselor (Mental Health)
375 PARK AVE, STE 2
COOS BAY, OR 97420
Specialist
375 PARK AVE, SUITE 5
COOS BAY, OR 97420
Case Manager/Care Coordinator
375 PARK AVE, SUITE 2
COOS BAY, OR 97420
Counselor (Professional)
375 PARK AVE, SUITE B
COOS BAY, OR 97420
Counselor (Professional)
375 PARK AVE
COOS BAY, OR 97420
Dermatology (MOHS-Micrographic Surgery)
375 PARK AVE, SUITE 5
COOS BAY, OR 97420
Marriage & Family Therapist
375 PARK AVE
COOS BAY, OR 97420

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 Aceso Medical Clinic LLC's NPI number?

The NPI number for Aceso Medical Clinic LLC is 1790499663. It was assigned to this organization in the NPPES registry on January 5, 2023.

Where is Aceso Medical Clinic LLC located?

Aceso Medical Clinic LLC is located at 375 Park Ave, Coos Bay, OR 97420. The listed phone number is (773) 996-0242.

What is Aceso Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Aceso Medical Clinic LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Aceso Medical Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Aceso Medical Clinic LLC was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.