Active NPI
Pacific Coast Primary Care
- Family Nurse Practitioner
- Coos Bay, OR
National Provider Identifier
1114688066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- PACIFIC COAST PRIMARY CARE
- Practice address
- 320 Central Ave Ste 304
Coos Bay, OR 97420-2241 - Phone
- (720) 427-5713
- NPI assigned
- Jan 4, 2022
- Last updated
- Jun 29, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Douglas Miller
- Title
- Office Manager
- Phone
- (541) 269-0800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
320 Central Ave Ste 304
Coos Bay, OR 97420-2241
Mailing address
320 Central Ave Ste 304
Coos Bay, OR 97420-2241
Phone (541) 269-0800
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656460800000",
"number": "1114688066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 CENTRAL AVE STE 304",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202241",
"telephone_number": "541-269-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 CENTRAL AVE STE 304",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202241",
"telephone_number": "720-427-5713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC COAST PRIMARY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-04",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "541-269-0800"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coos Bay, OR
- Douglas Paul Orsel, MD
- Salli-Jo Osborn
- Out of the Rain Counseling Solutions LLC
- Helen Owens
- Sandra Pachunka, RN
- Pacific Dialysis LLC (Cape Arago Dialysis)
- Pacific Home Care Associates Inc. (Pacific Home Health & Hospice)
- Pacific Home Care Associates, Inc. (Pacific Home Health and Hospice)
- Palliative Care Services, Inc.
- Melissa R Pallin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.