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

Oregon Coast Mind and Body, LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1558120428

Oregon Coast Mind and Body, 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.

See every abbreviation used in this directory →

Practice location Address checks out

137 Hall Ave
Coos Bay, OR 97420-1519
Phone: (541) 236-2088
Fax: (541) 931-8824
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 number1558120428
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alisse Diers — Owner · (541) 236-2088
Other names Oregon Coast Mind And Body
NPI enumeratedMarch 14, 2024
Last updated in NPPESMarch 14, 2024
Certification dateMarch 14, 2024
Mailing address137 Hall Ave, Coos Bay, OR 97420-1519

Other providers in Coos Bay