South Coast Orthopaedic Associates, PC
Orthopaedic Surgery in Coos Bay, OR. Organization (NPI-2).
NPI number1245284751
StatusActive
Last updated in NPPESDec 10, 2010
Details
- NPI
- 1245284751
- Entity type
- Organization (NPI-2)
- Legal business name
- South Coast Orthopaedic Associates, PC
- Organization subpart
- No
- Enumeration date
- May 20, 2006
- Last updated
- Dec 10, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | – | OR | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 335E00000X | Prosthetic/Orthotic Supplier | – | – |
Practice location
2699 N 17th StCoos Bay, OR 97420-2134
Phone 541-266-3600 · Fax 541-269-0708
Mailing address
2699 N 17th StCoos Bay, OR 97420-2134
Phone 541-266-3600 · Fax 541-269-0708
Authorized official
Christopher T Clarke
Clinic Administrator
5412663600
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