Whitney Rachelle Coultas

Nurse Practitioner · Medford, OR

Individual Active NPI

NPI number 1053088575

Practice location

3110 State St
Medford, OR 97504-8450
Phone
(541) 872-3580

Open in Google Maps

NPI record

NPI
1053088575
Entity type
Individual (Type 1)
Enumeration date
August 23, 2021
Last updated
January 14, 2026
Certified
January 14, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 202111129NP-PP OR
Registered Nurse 163W00000X 201602008RN OR

Mailing address

1355 Roxy Ann Rd
Medford, OR 97504-8065
Phone
(541) 261-7123
Fax
(541) 825-9205

About Whitney Coultas

Whitney Rachelle Coultas is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 3110 State St, Medford, OR 97504-8450. The NPI number 1053088575 was assigned on August 23, 2021 and the record was last updated on January 14, 2026.

Whitney Coultas lists 2 licenses in the registry: #202111129NP-PP (OR) for Nurse Practitioner; #201602008RN (OR) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Whitney Rachelle Coultas?

The NPI number is 1053088575.

What is the phone number of Whitney Coultas?

The phone number listed for the practice location is (541) 872-3580.

Where is Whitney Coultas located?

3110 State St, Medford, OR 97504-8450.

What is the taxonomy code for Whitney Coultas?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Nurse Practitioner providers in Medford

All Nurse Practitioner providers in Medford, OR →