Marcin Youthcare Coos Bay

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MARCIN YOUTHCARE COOS BAY

Practice address

1900 Woodland Dr
Coos Bay, OR 97420-2045

Phone

(800) 963-9188

NPI assigned

Mar 24, 2010

Last updated

Mar 24, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

MARCIN YOUTHCARE SERVICESAs reported in NPPES

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

Authorized official

Name

Mr. Curt Smoot

Title

Owner/Office Manager

Phone

(800) 963-9188

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1629392287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 NW CIRCLE BLVD # 138",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973301410",
            "telephone_number": "800-963-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 WOODLAND DR",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202045",
            "telephone_number": "800-963-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCIN YOUTHCARE COOS BAY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARCIN YOUTHCARE SERVICES",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "SMOOT",
        "authorized_official_first_name": "CURT",
        "authorized_official_title_or_position": "OWNER/OFFICE MANAGER",
        "authorized_official_telephone_number": "800-963-9188",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Mahikoa, RDH, EPDH
• Steve M Maland, CRNA
• Deborah B Manders, L.AC.
• Calvin Edwin Mang, D.C.
• Jessica Jean Manske
• Misael Marquez, M.D.
• Jose A Marroquin, PA
• Milana Marie Marsenich, LCPC
• Mary Marshall, RDH
• Toresa Martell, D.O.

• Psychiatric/Mental Health Nurse Practitioner in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.