Healthcare Provider Details

I. General information

NPI: 1285860635
Provider Name (Legal Business Name): SHAREN C. STRONG D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2009
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90087 CAPE ARAGO HWY
COOS BAY OR
97420-7630
US

IV. Provider business mailing address

PO BOX 5910
CHARLESTON OR
97420-0649
US

V. Phone/Fax

Practice location:
  • Phone: 541-888-8086
  • Fax:
Mailing address:
  • Phone: 541-888-8086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD6797
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: