National Provider Identifier Database

CONFEDERATED TRIBES OF COOS LOWER UMPQUA SIUSLAW INDIANS
Primary Care

Contact Information

CONFEDERATED TRIBES OF COOS, LOWER UMPQUA & SIUSLAW INDIANS
150 S WALL ST
COOS BAY, OR  97420-3233
Phone: 541-435-7200
Fax: 541-888-0025
Website:
Specialty Taxonomy Code
* Primary Care 261QP2300X
Cardiovascular Disease 207RC0000X
Community Health 261QC1500X
Community/Behavioral Health 251S00000X
Dental Therapist 125J00000X
Federally Qualified Health Center (FQHC) 261QF0400X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

* Indicates primary specialty

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

NPI Number 1780755454
Legal business name
LBN		 CONFEDERATED TRIBES OF COOS, LOWER UMPQUA & SIUSLAW INDIANS
Authorized official DAVON SMITH - (CHIEF OPERATIONS OFFICER)
Entity Organization
Organization subpart No
Enumeration date 11/13/2006
Last updated 04/13/2026 - About 2 months ago
Sole proprietor1 Not specified
Identifiers
  • OR Medicaid: 165383
  • OR Medicaid: 500838955
  • OR Other: RP-0003971-CS OREGON BOARD OF PHARMACY - CONTROLLED SUBSTANCE
  • OR Other: RP-0003971 OREGON BOARD OF PHARMACY - RETAIL DRUG OUTLET

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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