| Coquille Valley Health | |
|
2699 N 17th St Coos Bay OR 97420-2134 | |
| (541) 266-3600 | |
| (541) 824-1702 |
| Full Name | Coquille Valley Health |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 2699 N 17th St, Coos Bay, Oregon |
| Authorized Official Name and Position | Jeffrey M Lang (CEO) |
| Authorized Official Contact | 5413963101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coquille Valley Health Po Box 374 Coquille OR 97423-0374 Ph: (541) 396-7984 | Coquille Valley Health 2699 N 17th St Coos Bay OR 97420-2134 Ph: (541) 266-3600 |
| NPI Number | 1376374967 |
|---|---|
| Provider Enumeration Date | 08/13/2024 |
| Last Update Date | 09/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376374967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Primary |
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