Whalio Doctors

NPI 1295210011

Coastal Eyecare Tillamook LLC

Organisation Medical Specialty Clinic/Center Tillamook, OR

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
Ambulatory Health Care Facilities Taxonomy 261QM2500X
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X
Ophthalmologic Surgery Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QS0132X

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.