Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSE C STAUBACH
ActiveJESSE C STAUBACH is a Peer Specialist healthcare provider located in COOS BAY, Oregon. NPI 1114560802 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · COOS BAY, OR
Registration Details
- NPI Number
- 1114560802
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 24, 2019 (6.7807301164972 yrs)
- Last Updated
- Oct 24, 2019
- License
-
THW000003807 (OR)
Practice Information
- Address
-
320 CENTRAL AVE STE 304COOS BAY, OR, 974202241Browse OR providers · Browse ZIP 97420
- Phone
- 5413667640
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in COOS BAY, OR
| Name | Credential | NPI |
|---|---|---|
| CHAVA MENDELSOHN | — | 1497109094 |
| CHRISTINA MARIE SY | — | 1154827558 |
| KYLIE GOMES | — | 1801362280 |
| JASON ALLEN PAUL | PSS, CRM | 1013487404 |
| RONNI WALTZ | PSS | 1144785064 |
| DIANA JULIANNE COLLINS | PSS | 1245795095 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.