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PACIFIC COAST PRIMARY CARE
NPI 1114688066
Nurse Practitioner - Family in Coos Bay, OR

Active since January 04, 2022
320 CENTRAL AVE STE 304, COOS BAY, OR 97420(720) 427-5713 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pacific Coast Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC COAST PRIMARY CARE (NPI 1114688066) is a healthcare organization registered as a family in Coos Bay, Oregon and active in the NPI registry since January 2022. The organization lists Douglas Miller, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1114688066
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePACIFIC COAST PRIMARY CARE
Location Address320 CENTRAL AVE STE 304Coos Bay, OR 97420-2241
Mailing Address320 Central Ave Ste 304Coos Bay, OR 97420-2241 · (541) 269-0800
Phone(720) 427-5713
Organization SubpartNo
Authorized OfficialDouglas MillerOffice Manager · (541) 269-0800
Enumeration DateJanuary 4, 2022
Last NPPES UpdateJune 29, 2022
NPPES CertifiedJune 29, 2022
✔ NPI 1114688066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
320 CENTRAL AVE STE 304, Coos Bay, OR 97420
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSE C STAUBACH
Peer Specialist
320 CENTRAL AVE STE 304
COOS BAY, OR 97420
Coos County (541) 366-7640
LESLIE JO LINTNER CPSS
Counselor (Professional)
320 CENTRAL AVE STE 304
COOS BAY, OR 97420
Coos County (541) 336-7640
FELISHA MILLER FNP
Nurse Practitioner (Family)
320 CENTRAL AVE STE 304
COOS BAY, OR 97420
Coos County (541) 269-0800
DEBORAH B MANDERS L.AC.
Acupuncturist
320 CENTRAL AVE STE 304
COOS BAY, OR 97420
Coos County (541) 266-7694
NICOLE CASTHELY MSW
Social Worker (Clinical)
320 CENTRAL AVE STE 304
COOS BAY, OR 97420
Coos County (541) 257-5778

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Coast Primary Care's NPI number?

The NPI number for Pacific Coast Primary Care is 1114688066. It was assigned to this organization in the NPPES registry on January 4, 2022.

Where is Pacific Coast Primary Care located?

Pacific Coast Primary Care is located at 320 Central Ave Ste 304, Coos Bay, OR 97420. The listed phone number is (720) 427-5713.

What is Pacific Coast Primary Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Pacific Coast Primary Care accept?

Health plans from Moda Health Plan, Inc. list Pacific Coast Primary Care as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pacific Coast Primary Care was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.