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Robert Wallace
NPI 1679455703 · on the registry since 2025
Practice
- Address
- 93463 Alabama Ln
Coos Bay, OR 97420 - Phone
- (660) 525-6182
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-21
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