Organization · Type 2 NPI

Medical Department Uscg

Military Health Care Provider · North Bend, OR

NPI number 1407054323 Active

Practice location

2000 Connecticut Ave
North Bend, OR 97459-2300

Fax (541) 156-9617

Mailing address

Medical Department Uscg Air Station, 2000 Connecticut Ave.
North Bend, OR 97459-2399

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1407054323

Medical Department Uscg's National Provider Identifier is 1407054323, issued on Jul 3, 2007. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in North Bend, OR. The record was last updated on Aug 22, 2020.