Individual
SAMANTHA COGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 SW RAMSEY AVE, GRANTS PASS, OR 97527-5554
(541) 472-7000
Mailing address
1378 GLENGROVE AVE, CENTRAL POINT, OR 97502-2943
(920) 676-1548
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201508758NP-PP
OR
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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