SOUTH COAST DERMATOLOGY LLC – Adult Health Nurse Practitioner, NPI 1114567377

SOUTH COAST DERMATOLOGY LLC is a healthcare provider. based in Coos bay, Oregon. specializing in Adult Health Nurse Practitioner. The NPI Number for SOUTH COAST DERMATOLOGY LLC is 1114567377

Main info

Organization
Name
SOUTH COAST DERMATOLOGY LLC
NPI
1114567377
Phone
(541) 808-3860
Address
620 COMMERCIAL AVE
Authorized Official
WILLIAM WALLACE WEBSTER OWNER MD
Enumeration Date
15 January 2020
Last Update Date
15 January 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:6State licenses:0Digital endpointsOther names

Provider Addresses for SOUTH COAST DERMATOLOGY LLC

  • 620 COMMERCIAL AVE

    COOS BAY, OR 974201846

    Phone: (541) 808-3860

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97420)

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Frequently asked questions

Does SOUTH COAST DERMATOLOGY LLC share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SOUTH COAST DERMATOLOGY LLC uses 1114567377.
Is SOUTH COAST DERMATOLOGY LLC still practicing?
SOUTH COAST DERMATOLOGY LLC is currently listed as active in the public NPI registry.
What taxonomy line describes SOUTH COAST DERMATOLOGY LLC?
For research purposes, treat SOUTH COAST DERMATOLOGY LLC as Adult Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is SOUTH COAST DERMATOLOGY LLC based?
SOUTH COAST DERMATOLOGY LLC is tied to Coos Bay, Oregon in the data we show; additional addresses may exist on the full record.
Why does SOUTH COAST DERMATOLOGY LLC have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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