COOS COUNTY OREGON NPI 1811981053

NPI Information

NPI: 1811981053
Provider Name: COOS COUNTY OREGON
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
:
CLIA Number: 38D0627065
Address: 281 LACLAIR STREET
COOS BAY, OR
ZIP 97420
Phone: (541) 266-6700

Map and Directions

Get Directions

NPI Details

COOS COUNTY OREGON is a clinic center in Coos Bay, OR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). COOS COUNTY OREGON NPI is 1811981053. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

281 LACLAIR STREET
COOS BAY, OR
ZIP 97420
Phone: (541) 266-6700
Fax: (541) 888-8726

The provider's authorized official is Dawn Renee Broughton .
The authorized official title is Accounting Supervisor and has the following contact phone number (541) 266-6716.

The CLIA number assigned to this NPI record is 38D0627065 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/2/2005 and was last updated on 5/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	101YM0800X	Counselor	Mental Health	OREGON	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	OREGON	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)		No
4	302R00000X	Health Maintenance Organization		OREGON	No
5	261Q00000X	Clinic/Center			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500500169	MEDICAID	OREGON
2	500602110	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI