SearchOregon101YA0400X

Coby Wilson

NPI 1669157749 · on the registry since 2023

Practice

Address
215 N G St
Lakeview, OR 97630
Phone
(541) 947-6021
Organisation at this address
Outback Strong Inc
Lake District Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
171M00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-04

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