Organization
COOS CLINIC LLC
Active
Other names
Coos Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY BALDACCI NP-C (OWNER, MANAGING MEMBER)
(541) 294-0257
Entity
Organization
Contact information
Practice address
320 CENTRAL AVE, SUITE 418, COOS BAY, OR 97420-2272
(541) 294-0257
Mailing address
PO BOX 1733, COOS BAY, OR 97420-0339
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2015
Last updated
03/28/2015
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