OrganizationActive
Coquille Valley Health
NPI 1730908773 · Physical Medicine & Rehabilitation Physician · Coos Bay, OR
Provider details
- NPI number
- 1730908773
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Coquille Valley Health
- Organization subpart
- Yes
- Authorized official
- Jeffrey Lang, Ceo(541) 396-3101
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2645 N 17th St
Coos Bay, OR 97420-2134
Phone: (541) 266-3658
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 374
Coquille, OR 97423-0374
Registry dates
- Enumerated
- 2024-10-07
- Last updated
- 2024-10-14
- Certified
- 2024-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.