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

Mary Lou Freitag

Individual provider Nurse Practitioner · NPI 1962090621

Mary Lou Freitag is a Nurse Practitioner in Myrtle Point, Oregon. Qualified in 2020, 6 years ago. Practices with Coquille Valley Health, a 20-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
6
Licensed in
OR
In the registry since
2021

Practice location Address checks out

324 4th St
Myrtle Point, OR 97458-1074
Phone: (541) 572-2111
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 202010537NP-PP (OR)

Record details

NPI number1962090621
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 7, 2021
Last updated in NPPESJuly 8, 2021
Certification dateJuly 8, 2021
Mailing address1900 Woodland Dr, Coos Bay, OR 97420-2099

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Coquille Valley Health — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services