Organization
COASTAL PRIMARY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY MARIAH RINKE MA (BUSINESS PARTNER)
(602) 361-7144
Entity
Organization
Contact information
Practice address
436 CANAL DR SE, OCEAN SHORES, WA 98569-9718
(602) 361-7144
Mailing address
PO BOX 1898, OCEAN SHORES, WA 98569-1898
(602) 361-7144
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/30/2018
Last updated
11/29/2018
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