Jesse C Staubach
Jesse C Staubach is a Peer Specialist in Coos Bay, Oregon. Licensed in Oregon. Registered with an NPI since 2019.
- Licensed in
- OR
- In the registry since
- 2019
Practice location Address checks out
320 Central Ave Ste 304Coos Bay, OR 97420-2241
Phone: (541) 366-7640
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence THW000003807 (OR) |
|---|
Record details
| NPI number | 1114560802 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 24, 2019 |
| Last updated in NPPES | October 24, 2019 |
| Mailing address | Po Box 802, Coos Bay, OR 97420-0148 |
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