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NPI Code Detail

MEDICARE: PATRICIA ANNETTE BAILEY

MEDICARE: PATRICIA ANNETTE BAILEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorA2526OR
21041C0700XClinical Social WorkerL6528OR

General Provider Information

NPI Number : 1720487283
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA ANNETTE BAILEY
Provider Business Mailing Address
First Line : 1975 MCPHERSON ST STE 2
Second Line :
City : NORTH BEND
State : OR
Zip : 97459-3482
Country : US
Telephone Number : 541-751-2524
Fax Number : 541-751-2661
Provider Business Practice Location Address
First Line : 281 LACLAIR ST
Second Line :
City : COOS BAY
State : OR
Zip : 97420-2988
Country : US
Telephone Number : 541-266-6710
Fax Number : 541-266-6800
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2014
Last Update Date : 06/07/2019

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Directions to “ PATRICIA ANNETTE BAILEY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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