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Organization
SOUTH COAST ANESTHESIA ASSOCIATES LLC
Active
Organization
SOUTH COAST ANESTHESIA ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD E BEECHLY CRNA (PRESIDENT OWNER)
(541) 269-7358
Entity
Organization
Contact information
Practice address
2699 N 17TH ST, COOS BAY, OR 97420
(541) 269-7358
(541) 269-0677
Mailing address
5319 SW WESTGATE DR, 241, PORTLAND, OR 97221-2432
(503) 297-7223
(503) 297-7603
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029025
—
OR
Enumeration date
04/17/2006
Last updated
11/05/2007
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