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

South Coast Dermatology LLC

Organization Adult Health Nurse Practitioner · NPI 1114567377

South Coast Dermatology LLC is an Adult Health Nurse Practitioner in Coos Bay, Oregon. Registered with an NPI since 2020.

In the registry since
2020
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

620 Commercial Ave
Coos Bay, OR 97420-1846
Phone: (541) 808-3860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X

Record details

NPI number1114567377
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Webster — Owner · (541) 297-5342
NPI enumeratedJanuary 15, 2020
Last updated in NPPESJanuary 15, 2020
Certification dateJanuary 15, 2020
Mailing address620 Commercial Ave, Coos Bay, OR 97420-1846

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