Whalio Doctors

NPI 1003445875

Sarah Susan Tucker, CRM

Practitioner Peer Specialist Coos Bay, OR

Practice location

Address
155 S Empire Blvd, Coos Bay, OR 97420-3374
Phone
(541) 756-3111
Fax
(541) 756-2111
Mailing address
1942 Sheridan Ave, North Bend, OR 97459-3416

Registered specialties

Peer Specialist Primary
Other Service Providers Taxonomy 175T00000X Licence 19-CRM-275 (OR)

Registry record

NPI
1003445875
Entity type
Individual
Sex (as registered)
Female
NPI issued
3 Apr 2020
Record last updated
3 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.