Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians
NPI 1780755454 · Primary Care Clinic/Center · Coos Bay, OR
Provider details
- NPI number
- 1780755454
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Davon Smith, Chief Operations Officer(541) 294-0595
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
- Federally Qualified Health Center (FQHC)261QF0400X
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
- Dental Therapist125J00000X
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
- Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians
- Doing business as
- Three Rivers Health Center - Coos Bay
- Doing business as
- Three Rivers Health Center - Coos Bay
Additional practice locations (1)
- 250 Hull StCoos Bay, OR 97420-3038Phone: (541) 435-7200Fax: (541) 888-0025
Registry dates
- Enumerated
- 2006-11-13
- Last updated
- 2026-04-13
- Certified
- 2026-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.