Active NPI
Melissa R Pallin
- Clinical Social Worker
- Coos Bay, OR
National Provider Identifier
1477820801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L10480
- Practice address
- 999 N Front St Ste 225
Coos Bay, OR 97420-4909 - Phone
- (541) 294-9770
- Fax
- (877) 514-3809
- NPI assigned
- Nov 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | L10480 | OR | Primary |
Addresses
Primary practice location
999 N Front St Ste 225
Coos Bay, OR 97420-4909
Mailing address
PO Box 1048
Coos Bay, OR 97420-0227
Phone (541) 294-9770
Other practice location 1
1900 Woodland Dr
Coos Bay, OR 97420-2099
Phone (541) 267-5151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210211001991 | OR | Practitioner - Clinical Social Worker | 7517372196 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Bend Medical Center Inc
Practice addresses (Care Compare)
1900 Woodland Dr
Coos Bay, OR 97420-2045
Phone (541) 267-5151
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L10480 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Bend Medical Center Inc | Current | Accepting new patients | |
| Gold Path Therapy LLC | Clinical | Current | Accepting new patients |
| North Bend Medical Center Inc | Current | Accepting new patients |
Locations
999 N Front St
Ste 225
Coos Bay, OR 97420
Phone (541) 297-6516
1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Coos Bay, OR
- NPI 1760404396
-
- Diagnostic Radiology Physician
- Coos Bay, OR
- NPI 1063428308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1477820801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1048",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974200227",
"telephone_number": "541-294-9770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 N FRONT ST STE 225",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974204909",
"telephone_number": "541-294-9770",
"fax_number": "877-514-3809"
}
],
"practiceLocations": [
{
"address_1": "1900 Woodland Dr",
"address_purpose": "LOCATION",
"city": "Coos Bay",
"state": "OR",
"postal_code": "974202099",
"country_code": "US",
"telephone_number": "541-267-5151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALLIN",
"first_name": "MELISSA",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-30",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L10480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.