NPI 1013487404
Jason Allen Paul, PSSCRM
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 (2)
Peer Specialist
Primary
Peer Specialist
Registry record
- NPI
- 1013487404
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Nov 2018
- Record last updated
- 28 Nov 2018
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.