Organization
COOS COUNTY OREGON
Active
Parent organization
COOS COUNTY
Other names
Coos Health & Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOS COUNTY
Authorized official
DAWN RENEE BROUGHTON (ACCOUNTING SUPERVISOR)
(541) 266-6716
Entity
Organization
Contact information
Practice address
281 LACLAIR STREET, COOS BAY, OR 97420
(541) 266-6700
(541) 888-8726
Mailing address
281 LACLAIR STREET, COOS BAY, OR 97420
(541) 266-6700
(541) 888-8726
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
OR
261Q00000X
Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
OR
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
302R00000X
Health Maintenance Organization
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500500169
—
OR
05
—
500602110
—
OR
Enumeration date
09/02/2005
Last updated
05/22/2025
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