National Provider Identifier Database

CONFEDERATED TRIBES OF COOS LOWER UMPQUA SIUSLAW INDIANS
Dental


Contact Information

CONFEDERATED TRIBES OF COOS, LOWER UMPQUA, & SIUSLAW INDIANS
1245 FULTON AVE
COOS BAY, OR97420-2895
Phone: 541-888-6433
Fax:
Website:
Specialty Taxonomy Code
* Dental 261QD0000X
Dental Hygienist 124Q00000X
Dental Therapist 125J00000X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for CONFEDERATED TRIBES OF COOS, LOWER UMPQUA, & SIUSLAW INDIANS

NPI Number 1326889023
Legal business name
LBN
CONFEDERATED TRIBES OF COOS, LOWER UMPQUA, & SIUSLAW INDIANS
Authorized official JOHN REEVES - (HEALTH ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 06/05/2024
Last updated 06/05/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • OR Medicaid: 165383

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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