# SOUTH COAST ANESTHESIA ASSOCIATES LLC

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

## Provider details

- **NPI number:** 1902860836
- **Authorized official:** MR. RICHARD E BEECHLY CRNA (PRESIDENT OWNER)
- **Authorized official phone:** (541) 269-7358

## Contact information

- **Practice address:** 2699 N 17TH ST, COOS BAY, OR 97420
- **Practice address phone:** (541) 269-7358
- **Practice address fax:** (541) 269-0677
- **Mailing address:** 5319 SW WESTGATE DR, 241, PORTLAND, OR 97221-2432
- **Mailing address phone:** (503) 297-7223
- **Mailing address fax:** (503) 297-7603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/17/2006
- **Last updated:** 11/05/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 029025 | — | OR |