Organization
COQUILLE VALLEY HEALTH
Active
Parent organization
COQUILLE VALLEY HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
COQUILLE VALLEY HEALTH
Authorized official
JEFFREY MICHAEL LANG (CEO)
(541) 396-3101
Entity
Organization
Contact information
Practice address
2645 N 17TH ST, COOS BAY, OR 97420-2134
(541) 266-3658
Mailing address
PO BOX 374, COQUILLE, OR 97423-0374
(541) 396-7984
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/14/2024
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