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

Sulis Mind and Body LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1528762390

Sulis Mind and Body LLC is a Psychiatric/Mental Health Nurse Practitioner in Coos Bay, Oregon. Registered with an NPI since 2023.

In the registry since
2023
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) 203-0154
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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 number1528762390
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jamie Mayo — Pmhnp · (830) 370-3765
NPI enumeratedMarch 28, 2023
Last updated in NPPESSeptember 7, 2023
Certification dateSeptember 7, 2023
Mailing address2670 Broadway Ave # B115, North Bend, OR 97459-2214

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