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3015 Ne West Devils Lake Road Coastal Health Practitioners Lincoln City OR 97367-5131 | |
(541) 994-5591 | |
(541) 996-7294 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 3015 Ne West Devils Lake Road, Lincoln City, Oregon |
Authorized Official Name and Position | Margaret A Portwood (FNP) |
Authorized Official Contact | 5419945591 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3015 Ne West Devils Lake Rd Lincoln City OR 97367-5131 Ph: (541) 994-5591 | 3015 Ne West Devils Lake Road Coastal Health Practitioners Lincoln City OR 97367-5131 Ph: (541) 994-5591 |
NPI Number | 1053454355 |
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Provider Enumeration Date | 02/15/2007 |
Last Update Date | 03/14/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053454355 | NPI | - | NPPES |
167607 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Oregon) | Primary |
Samaritan North Lincoln Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Ne 28th St, Lincoln City, OR 97367 Phone: 541-768-7900 | |