Organization
MEDICAL DEPARTMENT USCG
Active
Other names
US COAST GUARD
Organization subpart
No
Provider details
NPI number
Authorized official
RADOSLAW ALEXANDER FLORCZAK (HEALTH TECHNICIAN)
(541) 156-9159
Entity
Organization
Contact information
Practice address
2000 CONNECTICUT AVE, NORTH BEND, OR 97459-2300
(541) 156-9159
(541) 156-9617
Mailing address
MEDICAL DEPARTMENT USCG AIR STATION, 2000 CONNECTICUT AVE., NORTH BEND, OR 97459-2399
(541) 156-9159
(541) 156-9617
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
07/03/2007
Last updated
08/22/2020
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