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

Edgar Maeyens Jr MD PC

Organization Specialist · NPI 1043398159

Edgar Maeyens Jr MD PC is a Specialist in Coos Bay, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

375 Park Ave Ste 5
Coos Bay, OR 97420-2244
Phone: (541) 267-7543
Fax: (541) 267-2076
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MD08528 (OR)

Record details

NPI number1043398159
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edgar Maeyens — Doctor · (541) 267-7543
Other names Park Avenue Dermatology Clinic
NPI enumeratedNovember 2, 2006
Last updated in NPPESJune 17, 2008
Mailing address375 Park Ave, Suite 5, Coos Bay, OR 97420-2244

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