| Coos Clinic | |
|
320 Central Ave Suite 418 Coos Bay OR 97420-2272 | |
| (541) 294-0257 | |
| Not Available |
| Full Name | Coos Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 320 Central Ave, Coos Bay, Oregon |
| Authorized Official Name and Position | Anthony Baldacci (OWNER, MANAGING MEMBER) |
| Authorized Official Contact | 5412940257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coos Clinic Po Box 1733 Coos Bay OR 97420-0339 Ph: () - | Coos Clinic 320 Central Ave Suite 418 Coos Bay OR 97420-2272 Ph: (541) 294-0257 |
| NPI Number | 1124412051 |
|---|---|
| Provider Enumeration Date | 03/28/2015 |
| Last Update Date | 03/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124412051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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