NPI 1508531666

Jason Donald Mecum, DHAT

Practitioner Dental Therapist Coos Bay, OR

Practice location

Address: 630 Miluk Dr, Coos Bay, OR 97420-7728
Phone: (541) 888-9494
Mailing address: PO Box 3190, Coos Bay, OR 97420-0407

Registered specialties

Dental Therapist Primary

Dental Providers Taxonomy 125J00000X Licence 18-TDT-02 (WA)

Other Dental Therapist providers in Oregon →

Registry record

NPI: 1508531666
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Aug 2021
Record last updated: 11 Aug 2021

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.