Search › Oregon › 101YM0800X
Fawn Mathis
NPI 1942997028 · on the registry since 2023
Practice
- Address
- 2020 Thompson Rd
Coos Bay, OR 97420 - Phone
- (541) 267-3511
- Fax
- (541) 267-3512
- Clinicians at this address
- 29
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon