Northcoast Clinic LLC
Clinic/Center, Multi-Specialty in Astoria, OR. Organization (NPI-2).
NPI number1982257408
StatusActive
Last updated in NPPESJul 23, 2019
Details
- NPI
- 1982257408
- Entity type
- Organization (NPI-2)
- Legal business name
- Northcoast Clinic LLC
- Organization subpart
- No
- Enumeration date
- Jul 23, 2019
- Last updated
- Jul 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 163WP0808X | Registered Nurse, Psych/Mental Health | – | – | |
| 207QA0401X | Family Medicine, Addiction Medicine | – | – | |
| 207QG0300X | Family Medicine, Geriatric Medicine | – | – | |
| 2084A0401X | Psychiatry & Neurology, Addiction Medicine | – | – | |
| 208D00000X | General Practice | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QP2300X | Clinic/Center, Primary Care | – | – | |
| 363A00000X | Physician Assistant | – | – |
Practice location
441 30th StAstoria, OR 97103-2807
Phone 503-568-7497
Mailing address
441 30th StAstoria, OR 97103-2807
Authorized official
Wendy Hemsley
Ceo
5037913499
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