| Oregon Coast Neurology Clinic | |
|
1925 Thompson Rd Coos Bay OR 97420-2040 | |
| (541) 267-0330 | |
| (541) 267-0265 |
| Full Name | Oregon Coast Neurology Clinic |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1925 Thompson Rd, Coos Bay, Oregon |
| Authorized Official Name and Position | Linda L Bufton (PRESIDENT) |
| Authorized Official Contact | 5412670330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oregon Coast Neurology Clinic 1925 Thompson Rd Coos Bay OR 97420-2040 Ph: (541) 267-0330 | Oregon Coast Neurology Clinic 1925 Thompson Rd Coos Bay OR 97420-2040 Ph: (541) 267-0330 |
| NPI Number | 1114049640 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 10/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114049640 | NPI | - | NPPES |
| 240162 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Oregon) | Primary |
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