NPI 1124644877
Fm Ocean Crest, LLC
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
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.