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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1124704895

Jacob Ryan Stradling, PMHNP is a Nurse Practitioner in Coos Bay, Oregon. Qualified in 2023, 3 years ago. Practices with Coos County Oregon, a 6-clinician group and accepts Medicare assignment. Licensed in Arizona and Oregon.

Years since qualifying
3
Licensed in
AZ, OR
In the registry since
2023
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

281 Laclair St
Coos Bay, OR 97420-2988
Phone: (541) 266-6733
Fax: (541) 888-8726
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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 · Licence 10045770 (OR)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 294125 (AZ)

Record details

NPI number1124704895
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedJune 26, 2023
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025
Mailing address281 Laclair St, Coos Bay, OR 97420-2988

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Coos County Oregon — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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