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

Coby Wilson

Individual provider Case Manager/Care Coordinator · NPI 1669157749

Coby Wilson is a Case Manager/Care Coordinator in Lakeview, Oregon. Licensed in Oregon. Registered with an NPI since 2023.

Licensed in
OR
In the registry since
2023
Specialties on file
2

Practice location Address checks out

215 N G St
Lakeview, OR 97630-1417
Phone: (541) 947-6021
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 24-10-11280 (OR)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1669157749
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 16, 2023
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024
Mailing address215 N G St, Lakeview, OR 97630-1417

Other providers in Lakeview