Organization
MARCIN YOUTHCARE COOS BAY
Active
Parent organization
MARCIN YOUTHCARE SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARCIN YOUTHCARE SERVICES
Authorized official
MR. CURT SMOOT (OWNER/OFFICE MANAGER)
(800) 963-9188
Entity
Organization
Contact information
Practice address
1900 WOODLAND DR, COOS BAY, OR 97420-2045
(800) 963-9188
Mailing address
946 NW CIRCLE BLVD # 138, CORVALLIS, OR 97330-1410
(800) 963-9188
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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