OrganizationActive
Coquille Valley Hospital District
NPI 1922620558 · Family Medicine Physician · Coquille, OR
Provider details
- NPI number
- 1922620558
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michele Erickson, Revenue Cycle Director(541) 396-7984
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
940 E 5th St
Coquille, OR 97423-1666
Phone: (952) 653-2565
Fax: (952) 653-2540
Street-level locationGet directions
Mailing address
940 E 5th St
Coquille, OR 97423-1666
Registry dates
- Enumerated
- 2020-05-18
- Last updated
- 2020-09-03
- Certified
- 2020-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.