Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians

NPI #1316788037 in Florence, Oregon

Provider Information

NPI Number
1316788037
Entity Type
Organization
Organization Name
Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jun 5, 2024
Last Updated
Jun 5, 2024

Practice Location

Address
3757 HIGHWAY 101
State
Oregon
ZIP Code
97439-8993
Phone
(541) 997-6685

Authorized Official

Name
JOHN RANDOLPH REEVES III, MHA
Title
HEALTH ADMINISTRATOR
Phone
(808) 214-7269

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health
Social Worker - ClinicalClinical
Dental Hygienist
Dental Therapist
Psychiatry & Neurology - PsychiatryPsychiatry
Community/Behavioral Health
Clinic/Center - Primary CarePrimary Care
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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