Coastline Corvallis Clinic LLC
NPI 1457735615 · Ambulatory Surgical Clinic/Center · Corvallis, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Coastline Corvallis Clinic LLC is a Ambulatory Surgical Clinic/Center organization in Corvallis, OR (NPI 1457735615).
Provider details
- NPI number
- 1457735615
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Coastline Foot and Ankle Clinic
- Organization subpart
- Yes
- Authorized official
- Linzie Gomez, Manager(503) 370-8784
- License
- DP154513 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Coastline Foot and Ankle Center
Registry dates
- Enumerated
- 2015-07-16
- Last updated
- 2020-03-10
- Certified
- 2020-03-10
Frequently asked questions
- What is Coastline Corvallis Clinic LLC's NPI number?
- Coastline Corvallis Clinic LLC's National Provider Identifier (NPI) is 1457735615, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastline Corvallis Clinic LLC?
- Coastline Corvallis Clinic LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Coastline Corvallis Clinic LLC located?
- Coastline Corvallis Clinic LLC's practice location on file with NPPES is 1829 Nw Kings Blvd, Corvallis, OR 97330-1907.
- What is Coastline Corvallis Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Coastline Corvallis Clinic LLC is (541) 757-7100.
- Does Coastline Corvallis Clinic LLC accept Medicare?
- Coastline Corvallis Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Coastline Corvallis Clinic LLC?
- The authorized official listed on Coastline Corvallis Clinic LLC's NPPES record is Linzie Gomez, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastline Corvallis Clinic LLC's NPI active?
- Yes — Coastline Corvallis Clinic LLC's NPI (1457735615) is active in the NPPES registry as of the last update on 2020-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.