OrganizationActive
Aceso Medical Clinic LLC
NPI 1790499663 · Family Nurse Practitioner · Coos Bay, OR
Provider details
- NPI number
- 1790499663
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Shirley Reynolds, Family Nurse Practitioner(773) 996-0242
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
375 Park Ave
Coos Bay, OR 97420-2244
Phone: (773) 996-0242
Approximate (ZIP-level) locationGet directions
Mailing address
998 Inlet Loop
Coos Bay, OR 97420-4446
Registry dates
- Enumerated
- 2023-01-05
- Last updated
- 2023-01-05
- Certified
- 2023-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.