NPI 1407054323

Medical Department Uscg

Organisation Military Health Care Provider North Bend, OR

Practice location

Address: 2000 Connecticut Ave, North Bend, OR 97459-2300
Phone: (541) 156-9159
Fax: (541) 156-9617
Mailing address: Medical Department Uscg Air Station 2000 Connecticut Ave., North Bend, OR 97459-2399

Authorised official

Name: Radoslaw Alexander Florczak
Title: Health Technician
Phone: (541) 156-9159

Registered specialties

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X

Other Military Health Care Provider providers in Oregon →

Registry record

NPI: 1407054323
Entity type: Organization
NPI issued: 3 Jul 2007
Record last updated: 22 Aug 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.