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Organization

COQUILLE VALLEY HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY MICHAEL LANG (CEO)
(541) 396-3101
Entity
Organization

Contact information

Practice address
790 E 5TH ST STE A, COQUILLE, OR 97423-1755
(541) 396-3111
(541) 824-1702
Mailing address
940 E 5TH ST, COQUILLE, OR 97423-1666
(541) 396-3101
(541) 824-1702

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207X00000X
Orthopaedic Surgery Physician

Other

Enumeration date
03/25/2026
Last updated
03/26/2026
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