Jesse Staubach

NPI 1114560802 · on the registry since 2019

Practice

Address: 320 Central Ave Ste 304
Coos Bay, OR 97420
Phone: (541) 366-7640
Organisation at this address: Coos Clinic Llc
Bob Belloni Ranch Inc.
Bob Belloni Ranch, Inc.
Bob Belloni Ranch, Inc.
Three Branches Clinic Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: Peer Specialist
175T00000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-10-24

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