Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERT E WALLACE
ActiveROBERT E WALLACE is a Mental Health Counselor healthcare provider located in COOS BAY, Oregon. NPI 1679455703 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · COOS BAY, OR
Registration Details
- NPI Number
- 1679455703
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2025 (1.0767260244431 yrs)
- Last Updated
- Jul 21, 2025
- License
-
25-QMHP-R-3536 (OR)
Practice Information
- Address
-
93463 ALABAMA LNCOOS BAY, OR, 974203977Browse OR providers · Browse ZIP 97420
- Phone
- 6605256182
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in COOS BAY, OR
| Name | Credential | NPI |
|---|---|---|
| JEREMY HOWELL | LCSW | 1417088626 |
| DEBORAH K KIRBY | — | 1235260431 |
| JEANNE SMITH | LCSW | 1518098433 |
| MS. SARAH BETH CAMPBELL | LCSW | 1023137171 |
| MS. RAMA J ESHELBRENNER | M.A. | 1619169190 |
| TAMMY BRAY | — | 1497924484 |
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.