Coos Bay School District 9

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

COOS BAY SCHOOL DISTRICT 9

Practice address

1255 Hemlock Ave
Coos Bay, OR 97420-1298

Phone

(541) 267-3104

Fax

(541) 269-5366

NPI assigned

Jul 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Rod Danielson

Title

Business Manager

Phone

(541) 267-1317

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619981958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974200102",
            "telephone_number": "541-267-3104",
            "fax_number": "541-269-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 HEMLOCK AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974201298",
            "telephone_number": "541-267-3104",
            "fax_number": "541-269-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOS BAY SCHOOL DISTRICT 9",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DANIELSON",
        "authorized_official_first_name": "ROD",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "541-267-1317",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115829",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bret Alan Cook, MD
• Tyler Dawn Cooper, PMHNP
• Coos Bay of Cascadia, LLC
• Coos Bay Rehabilitation, Inc.
• Coos Bay Rehabilitation, LLC
• Coos Bay Vision Center, Inc
• Coos Bay Vision Center, LLC
• Coos Clinic LLC
• Coos County Oregon
• Coos County Oregon

• Local Education Agency (LEA) in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Local Education Agency (LEA) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.