Organization
COOS COUNTY OREGON
Active
Other names
Coos County Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
GINGER SWAN (DIRECTOR)
(541) 756-2020
Entity
Organization
Contact information
Practice address
1975 MCPHERSON ST, SUITE 2, NORTH BEND, OR 97459-3482
(541) 756-2020
(541) 756-8982
Mailing address
1975 MCPHERSON ST, SUITE 2, NORTH BEND, OR 97459-3482
(541) 756-2020
(541) 756-8982
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500500169
—
OR
Enumeration date
02/25/2009
Last updated
01/07/2011
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