Organization Active NPI

Oregon Coast Wound Center LLC

  • Foot & Ankle Surgery Podiatrist
  • Coos Bay, OR
National Provider Identifier
1427923192
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
OREGON COAST WOUND CENTER LLC
Practice address
1610 Thompson Rd
Coos Bay, OR 97420-2150
Phone
(541) 329-2555
Fax
(971) 233-3243
NPI assigned
Oct 10, 2025
Last updated
Oct 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Babak Baharloo, DMP
Title
Owner
Phone
(541) 329-2555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

1610 Thompson Rd
Coos Bay, OR 97420-2150

Mailing address

780 2ND St SE Ste 7
Bandon, OR 97411-8354
Phone (541) 329-2555

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1427923192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 2ND ST SE STE 7",
            "city": "BANDON",
            "state": "OR",
            "postal_code": "974118354",
            "telephone_number": "541-329-2555",
            "fax_number": "971-233-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 THOMPSON RD",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202150",
            "telephone_number": "541-329-2555",
            "fax_number": "971-233-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON COAST WOUND CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "BAHARLOO",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-329-2555",
        "authorized_official_credential": "DMP"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coos Bay, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.