Organization
CLATSKANIE SCHOOL BASED HEALTH CENTER
Active
Parent organization
COASTAL FAMILY HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL FAMILY HEALTH CENTER
Authorized official
WENDY GILMORE (CFO)
(503) 325-8315
Entity
Organization
Contact information
Practice address
471 SW BELAIR DR, CLATSKANIE, OR 97016-7415
(503) 325-8315
(503) 468-0193
Mailing address
PO BOX 239, ASTORIA, OR 97103-0239
(503) 325-8315
(503) 468-0193
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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