Robert E Wallace
Robert E Wallace is a Mental Health Counselor in Coos Bay, Oregon. Licensed in Oregon. Registered with an NPI since 2025.
- Licensed in
- OR
- In the registry since
- 2025
Practice location Address checks out
93463 Alabama LnCoos Bay, OR 97420-3977
Phone: (660) 525-6182
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 25-QMHP-R-3536 (OR) |
|---|
Record details
| NPI number | 1679455703 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 21, 2025 |
| Last updated in NPPES | July 21, 2025 |
| Certification date | July 21, 2025 |
| Mailing address | Po Box 653, Coos Bay, OR 97420-0124 |
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