Organization Name: | COASTAL HEALTH CENTER,P.C. |
NPI Number: | 1023165891 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL RICHARD ARTHUR (OWNER) |
Mailing Address: | 216 Cedar Ave Tillamook |
State: | OR US |
Postal Code: | 971412000 |
Phone Number: | 5038423661 |
Fax Number: | 5038425331 |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 03/31/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 080046352N1FNP-PP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |