NPI 1083281034
New Friends of Coos Bay, LLC
Practice location
- Address
- 955 Kentucky Ave, Coos Bay, OR 97420-6807
- Phone
- (541) 808-9730
- Mailing address
- 25260 SW Parkway Ave STE B, Wilsonville, OR 97070-6627
Authorised official
- Name
- Carl Mason
- Title
- Director of Operations
- Phone
- (503) 826-5190
Registered specialties
Assisted Living Facility (Mental Illness)
Primary
Registry record
- NPI
- 1083281034
- Entity type
- Organization
- NPI issued
- 8 Jun 2021
- Record last updated
- 8 Jun 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.