COASTLINE CORVALLIS CLINIC LLC; NPI #1457735615

Contact Information

COASTLINE CORVALLIS CLINIC LLC

1829 NW KINGS BLVD
CORVALLIS, OR 97330-1907

Phone: 541-757-7100
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

Edit contact information

NPI Profile & details for COASTLINE CORVALLIS CLINIC LLC

NPI Number 1457735615

LBN Legal business name COASTLINE CORVALLIS CLINIC LLC

Authorized official LINZIE GOMEZ - (MANAGER)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 07/16/2015

Last updated 03/10/2020 - About 6 years ago

Identifiers

OR	License #	DP154513
OR	Medicaid	R164712

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

Reviews for COASTLINE CORVALLIS CLINIC LLC

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for COASTLINE CORVALLIS CLINIC LLC
Be the first to post a comment or review.

Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby AHC Facilities

COUNTY OF LINN
2730 SW PACIFIC BLVD
ALBANY, OR

MID-VALLEY HEALTHCARE, INC.
157 SPAULDING AVENUE
BROWNSVILLE, OR

MID-VALLEY HEALTHCARE, INC.
675 N 5TH ST STE 200
LEBANON, OR

CAPITAL FAMILY AND CHILD COUNSELING
1845 COMMERCIAL ST SE
SALEM, OR

PHOENIX RISING FAMILY MEDICINE LLC
810 COMMERCIAL ST SE
SALEM, OR

MICHAELA GRILLO LLC
942 WINDEMERE DR NW
SALEM, OR

THERAPY TO SHINE
210 E 6TH AVE
JUNCTION CITY, OR

SANTIAM MEMORIAL HOSPITAL
1373 N 10TH AVE
STAYTON, OR

SANTIAM MEMORIAL HOSPITAL
1371 N 10TH AVE
STAYTON, OR

ACORN DENTISTRY FOR KIDS - KEIZER, LLC
4817 RIVER RD N
KEIZER, OR

View all AHC Facilities

COASTLINE CORVALLIS CLINIC LLC

Contact Information

Specialty

Ambulatory Surgical

NPI Profile & details for COASTLINE CORVALLIS CLINIC LLC

Reviews for COASTLINE CORVALLIS CLINIC LLC