Organization
COOS COUNTY OREGON
Active
Organization
COOS COUNTY OREGON
Active
Parent organization
COOS COUNTY OREGON
Other names
Coos Health and Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOS COUNTY OREGON
Authorized official
DAWN RENEE BROUGHTON (ACCOUNTING SUPERVISOR)
(541) 266-6716
Entity
Organization
Contact information
Practice address
281 LACLAIR ST, COOS BAY, OR 97420-2988
(541) 266-6700
(541) 888-8726
Mailing address
281 LACLAIR ST, COOS BAY, OR 97420-2988
(541) 266-6700
(541) 888-8726
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R0000PHCLT
MEDICARE PTAN
OR
Enumeration date
05/28/2025
Last updated
05/29/2025
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