Organization
PACIFIC COAST PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS MILLER (OFFICE MANAGER)
(541) 269-0800
Entity
Organization
Contact information
Practice address
320 CENTRAL AVE STE 304, COOS BAY, OR 97420-2241
(720) 427-5713
Mailing address
320 CENTRAL AVE STE 304, COOS BAY, OR 97420-2241
(541) 269-0800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
06/29/2022
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