Qualicenters Coos Bay, Ltd.

NPI 1285746081 - Clinic/Center - 261QE0700X

NPI Details
NPI 1285746081
Enumeration Date 08/31/2006
Last Updated 06/10/2009
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name MARK MARK
Position TREASURER
Phone (541) 267-0384
Fax (541) 267-3221
Practice Location
1971 THOMPSON RD.
COOS BAY OR, 97420-2040, US
Phone (541) 267-0384
Fax (541) 267-3221
Business Location
1971 THOMPSON RD.
COOS BAY OR, 97420-2040, US
Phone (541) 267-0384
Fax (541) 267-3221
Toxanomy
Taxonomy Code 261QE0700X
License State
License Number
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According to our database, Qualicenters Coos Bay, Ltd. NPI is 1285746081, taxonomy code is 261QE0700X Qualicenters Coos Bay, Ltd. physically located at 1971 Thompson Rd., Coos Bay OR, 97420-2040. NPI Number 1033115704 has the healthcare provider type.

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1285746081 NPI number is provided on an as is basis without warranty of any kind. 1285746081 is maintained by the National Plan & Provider Enumeration System. The contents of Qualicenters Coos Bay, Ltd. are for informational purposes only.