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

W. Wallace Webster MD LLC

Organization Facial Plastic Surgery Physician · NPI 1407470214

W. Wallace Webster MD LLC is a Facial Plastic Surgery Physician 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 Ste A
Coos Bay, OR 97420-1846
Phone: (541) 297-5342
Fax: (541) 808-0415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X

Record details

NPI number1407470214
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Webster — Owner · (541) 297-5342
NPI enumeratedJune 8, 2020
Last updated in NPPESJune 8, 2020
Certification dateJune 8, 2020
Mailing address620 Commercial Ave Ste A, Coos Bay, OR 97420-1846

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