# COFAS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033179684
- **Authorized official:** CHARLES KEITH COFAS MD (OWNER/MD)
- **Authorized official phone:** (541) 882-3818

## Contact information

- **Practice address:** 2218 SHALLOCK AVE, KLAMATH FALLS, OR 97601-4290
- **Practice address phone:** (541) 882-3818
- **Practice address fax:** (541) 882-9800
- **Mailing address:** 2218 SHALLOCK AVE, KLAMATH FALLS, OR 97601-4290
- **Mailing address phone:** (541) 882-3818
- **Mailing address fax:** (541) 882-9800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD11585 | OR | — |
| 207R00000X | Internal Medicine Physician | MD25846 | OR | Yes |
| 363A00000X | Physician Assistant | PA01446 | OR | — |

## Other

- **Enumeration date:** 03/27/2006
- **Last updated:** 05/16/2019