IndividualActive
Jesse Staubach
NPI 1114560802 · Peer Specialist · Coos Bay, OR
Jesse Staubach is a Peer Specialist provider in Coos Bay, OR (NPI 1114560802).
Provider details
- NPI number
- 1114560802
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- THW000003807 (OR)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
320 Central Ave Ste 304
Coos Bay, OR 97420-2241
Phone: (541) 366-7640
Street-level locationGet directions
Mailing address
Po Box 802
Coos Bay, OR 97420-0148
Registry dates
- Enumerated
- 2019-10-24
- Last updated
- 2019-10-24
Frequently asked questions
- What is Jesse Staubach's NPI number?
- Jesse Staubach's National Provider Identifier (NPI) is 1114560802, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jesse Staubach's specialty?
- Jesse Staubach is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Jesse Staubach located?
- Jesse Staubach's practice location on file with NPPES is 320 Central Ave Ste 304, Coos Bay, OR 97420-2241.
- What is Jesse Staubach's phone number?
- The practice phone number listed in the NPPES registry for Jesse Staubach is (541) 366-7640.
- Is Jesse Staubach's NPI active?
- Yes — Jesse Staubach's NPI (1114560802) is active in the NPPES registry as of the last update on 2019-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.