# US COAST GUARD MEDICAL CLINIC NORTH BEND

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1770608424
- **Authorized official:** MR. STEPHEN J KINSLEY M.D. (SENIOR MEDICAL OFFICER)
- **Authorized official phone:** (541) 756-9237

## Contact information

- **Practice address:** 2000 CONNECTICUT AVE, NORTH BEND, OR 97459-2300
- **Practice address phone:** (541) 756-9234
- **Practice address fax:** (541) 756-9617
- **Mailing address:** 2000 CONNECTICUT AVE, NORTH BEND, OR 97459-2300
- **Mailing address phone:** (541) 756-9234
- **Mailing address fax:** (541) 756-9617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171000000X | Military Health Care Provider | 35057309 | OH | Yes |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 08/22/2020