Oregon Coast Wellness Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

DO24746 Issued in OR

Legal business name

OREGON COAST WELLNESS INC.

Practice address

648 Chetco Ave.
Brookings, OR 97415

Phone

(541) 813-1797

Fax

(541) 813-1801

NPI assigned

Mar 7, 2012

Organization subpart

No

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

Authorized official

Name

Tressere Mills

Title

Secretary/Office Manager

Phone

(418) 131-7975

Specialties & licenses 1

Addresses

Other names 1

• M-Care Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William McDougall, DO

  • Internal Medicine Physician
  • Brookings, OR
  • NPI 1598763302
  Medicare reassignment NPD

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1649544784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5299",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974150102",
            "telephone_number": "541-813-1797",
            "fax_number": "541-813-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 CHETCO AVE.",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "97415",
            "telephone_number": "541-813-1797",
            "fax_number": "541-813-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON COAST WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "TRESSERE",
        "authorized_official_title_or_position": "SECRETARY/OFFICE MANAGER",
        "authorized_official_telephone_number": "418-131-7975"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "DO24746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M-Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "M-Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ocean Park
• Ocean Park Memory Care
• Nicholas Ochoa
• Rachel Ochoa
• Carol Oliver, NP
• Oregon Em-I Medical Services PC
• Oregon Em-I Medical Services PC
• Kimberly Ann Orta, NP
• Savannah Alexis Ott
• Armida Padilla

• Clinic/Center in Brookings, OR
• Providers in Brookings, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.