Organization
COAST REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB CARLS (EXECUTIVE DIRECTOR)
(503) 861-3372
Entity
Organization
Contact information
Practice address
89451 HIGHWAY 101, WARRENTON, OR 97146-7105
(503) 861-3372
(503) 861-3476
Mailing address
PO BOX 760, WARRENTON, OR 97146-0760
(503) 861-3372
(503) 861-3476
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
—
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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