NPI 1295210011
Coastal Eyecare Tillamook LLC
Practice location
- Address
- 102 Main Ave, Tillamook, OR 97141-2218
- Phone
- (503) 374-0399
- Fax
- (503) 374-0374
- Mailing address
- 819 S Holladay Dr, Seaside, OR 97138-6608
Authorised official
- Name
- Darren L Thorsen
- Title
- Member
- Phone
- (360) 642-3214
Registered specialties (3)
Medical Specialty Clinic/Center
Primary
Optometrist
Ophthalmologic Surgery Clinic/Center
Registry record
- NPI
- 1295210011
- Entity type
- Organization
- NPI issued
- 27 Sep 2018
- Record last updated
- 11 Jan 2019
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.