Gail Loree Wahl, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

256 Issued in OR

Practice address

320 Central Ave
Suite 514
Coos Bay, OR 97420-2272

Phone

(541) 269-1749

Fax

(541) 269-1749

NPI assigned

Feb 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184750721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CENTRAL AVE",
            "address_2": "SUITE 514",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202272",
            "telephone_number": "541-269-1749",
            "fax_number": "541-269-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CENTRAL AVE",
            "address_2": "SUITE 514",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202272",
            "telephone_number": "541-269-1749",
            "fax_number": "541-269-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHL",
        "first_name": "GAIL",
        "middle_name": "LOREE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Renee Vonseggern, PTA
• Benjamin Levi Voth, D.C.
• Swetha Vutukuri
• W. Wallace Webster MD LLC
• Eric G Waelbroeck, MD
• James M. Wahl
• Wal-Mart Stores Inc (Wal-Mart Pharmacy 10-2301)
• Krystal Cathleen Walden
• Bryan Charles Walker, RPH
• Michaela Walker, DDS

• Clinical Psychologist in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.