HOPE MENTAL WELLNESS NPI 1083321400

NPI Information

  • NPI: 1083321400
  • Provider Name: HOPE MENTAL WELLNESS
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Former Legal Business Name: HOPE MENTAL WELLNESS LLC
  • Address: 632 ANDERSON AVE
    COOS BAY, OR
    ZIP 97420
  • Phone: (541) 236-2086

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NPI Details

HOPE MENTAL WELLNESS is a psychiatric/mental health nurse practitioner in Coos Bay, OR. HOPE MENTAL WELLNESS NPI is 1083321400. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Hope Mental Wellness Llc.

The provider's business location address is:

632 ANDERSON AVE
COOS BAY, OR
ZIP 97420-632
Phone: (541) 236-2086
Fax: (541) 214-2897

The provider's authorized official is Jennifer Dawn Hope .
The authorized official title is Sole Proprietor/practitioner and has the following contact phone number (541) 236-2086.

The enumeration date for this NPI number is 11/4/2022 and was last updated on 8/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1500794087MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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