Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coastal Roots Psychiatry, LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1417785569

Coastal Roots Psychiatry, LLC is a Psychiatric/Mental Health Nurse Practitioner in Coos Bay, Oregon. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

180 S Empire Blvd
Coos Bay, OR 97420-3352
Phone: (541) 543-2066
Fax: (503) 465-3842
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1417785569
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashley Phillips — Pmhnp · (541) 294-7215
NPI enumeratedJuly 22, 2024
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025
Mailing address180 S Empire Blvd, Coos Bay, OR 97420-3352

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