Whalio Doctors

NPI 1124644877

Fm Ocean Crest, LLC

Organisation Assisted Living Facility Coos Bay, OR

Practice location

Address
192 Norman Ave, Coos Bay, OR 97420-4741
Phone
(541) 888-2255
Fax
(541) 888-5908
Mailing address
7420 SW Bridgeport Rd STE 105, Portland, OR 97224-7790

Authorised official

Name
Gregory a Roderick
Title
Member
Phone
(503) 443-1818

Registered specialties

Assisted Living Facility Primary
Nursing & Custodial Care Facilities Taxonomy 310400000X

Registry record

NPI
1124644877
Entity type
Organization
NPI issued
18 Jun 2020
Record last updated
18 Jun 2020

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.