Organization
COASTAL FAMILY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K COFFEE (CEO)
(503) 325-8315
Entity
Organization
Contact information
Practice address
2158 EXCHANGE STREET, SUITE 304, ASTORIA, OR 97103-3419
(503) 325-8315
(503) 325-8602
Mailing address
PO BOX 239, ASTORIA, OR 97103-0239
(503) 325-8315
(503) 325-8602
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231893
—
OR
Enumeration date
12/07/2006
Last updated
02/17/2012
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