OrganizationActive
Coast Fork Nursing Center Inc
NPI 1407842800 · Skilled Nursing Facility · Cottage Grove, OR
Provider details
- NPI number
- 1407842800
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Gregory Vislocky, Exec. Vp of Finance(360) 735-7155
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
515 Grant Ave
Cottage Grove, OR 97424-2967
Phone: (541) 942-5528
Fax: (541) 942-2155
Approximate (ZIP-level) locationGet directions
Mailing address
7700 Ne Parkway Dr
Vancouver, WA 98662-6648
Other names (DBA / former)
- Doing business as
- Coast Fork Nursing Center
Registry dates
- Enumerated
- 2005-09-21
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.