Organization
NORTH BEND MEDICAL CENTER INC
Active
Other names
NBMC-XRAY EKG
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN A TERSIGNI MD (INTERIM CEO)
(541) 267-5151
Entity
Organization
Contact information
Practice address
1900 WOODLAND DR, COOS BAY, OR 97420-0000
(541) 267-5151
(541) 266-4501
Mailing address
1900 WOODLAND DR, COOS BAY, OR 97420-0000
(541) 267-5151
(541) 266-4501
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407812365
NBMC MAIN ENTITY NPI
OR
01
—
690001817
RR GROUP PTAN NUMBER
OR
Enumeration date
07/31/2006
Last updated
12/07/2023
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