Coastline Corvallis Clinic LLC

NPI #1457735615 in Corvallis, Oregon

Provider Information

NPI Number
1457735615
Entity Type
Organization
Organization Name
Coastline Corvallis Clinic LLC
Subpart
Yes (part of a larger organization)
Parent Organization
COASTLINE FOOT AND ANKLE CLINIC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Jul 16, 2015
Last Updated
Mar 10, 2020

Practice Location

Address
1829 NW KINGS BLVD
State
Oregon
ZIP Code
97330-1907
Phone
(541) 757-7100

Authorized Official

Name
LINZIE GOMEZ
Title
MANAGER
Phone
(503) 370-8784

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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