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Coastline Corvallis Clinic Llc
Ambulatory Surgical Clinic/Center in Corvallis, Oregon
NPI 1457735615

Coastline Corvallis Clinic Llc is an Ambulatory Surgical Clinic/Center based in Corvallis, OR and is specialized in Ambulatory Surgical. Coastline Corvallis Clinic Llc practices in Corvallis, OR. The NPI Number for Coastline Corvallis Clinic Llc is 1457735615 and holds a License No. DP154513 (Oregon).

The current practice location address for Coastline Corvallis Clinic Llc is 1829 Nw Kings Blvd, Corvallis, OR and can be reached out via phone at 541-757-7100.

Location: 1829 Nw Kings Blvd, Corvallis, OR, 97330-1907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457735615
Provider Name
Coastline Corvallis Clinic Llc
Credential
Provider Entity Type
Organization
Address
1829 Nw Kings Blvd, Corvallis, OR, 97330-1907
Phone Number
541-757-7100
Fax Number
Provider Enumeration Date
07/16/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R164712 05 OR
institution
Provider Business Practice Location Address Details
Address
1829 Nw Kings Blvd
City
Corvallis
State
Oregon
Zip
97330-1907
Phone Number
541-757-7100
Fax Number
person
Provider Business Mailing Address Details
Address
1829 Nw Kings Blvd
City
Corvallis
State
Oregon
Zip
97330-1907
Phone Number
541-757-7100
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
DP154513 (Oregon)
Definition
Definition to come...
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