Organization
COQUILLE VALLEY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY M LANG (CEO)
(541) 396-3101
Entity
Organization
Contact information
Practice address
345 8TH ST, MYRTLE POINT, OR 97458-1214
(541) 824-0400
(541) 592-7497
Mailing address
PO BOX 374, COQUILLE, OR 97423-0374
(541) 396-3101
(541) 824-1702
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
08/07/2024
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