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Organization

OREGON COAST SPINE INSTITUTE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DARA PARVIN M.D. (PRESIDENT)
(541) 267-4429
Entity
Organization

Contact information

Practice address
1957 THOMPSON RD, COOS BAY, OR 97420-2040
(541) 267-4429
(541) 267-5470
Mailing address
1957 THOMPSON RD, COOS BAY, OR 97420-2040
(541) 267-4429
(541) 267-5470

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD21855
OR
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
MD26085
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022841
OR
01
CJ7856
RAILROAD MEDICARE
OR
Enumeration date
07/20/2006
Last updated
10/31/2008
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