1. Home
  2. Directory
  3. Oregon
  4. Coos Bay
  5. Clinic Center
  6. NPI Profile

THREE RIVERS HEALTH CENTER - DENTAL
NPI 1326889023
Clinic/Center - Dental in Coos Bay, OR

Active since June 05, 2024CLIA 38D2301190 · Waiver
1245 FULTON AVE, COOS BAY, OR 97420(541) 888-6433 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Three Rivers Health Center - Dental NPPES

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

THREE RIVERS HEALTH CENTER - DENTAL (NPI 1326889023) is a healthcare organization registered as a dental in Coos Bay, Oregon and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through March 20, 2028 and lists John R Reeves, Health Administrator, as its authorized official.

NPPES Registry Identity

NPI1326889023
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCONFEDERATED TRIBES OF COOS, LOWER UMPQUA, & SIUSLAW INDIANS
Location Address1245 FULTON AVECoos Bay, OR 97420-2895
Mailing Address1245 Fulton AveCoos Bay, OR 97420-2895 · (541) 888-6433
Phone(541) 888-6433
Organization SubpartNo
Authorized OfficialJohn R ReevesHealth Administrator · (808) 214-7269
Enumeration DateJune 5, 2024
NPPES CertifiedJune 5, 2024
✔ NPI 1326889023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Also ListedDental HygienistTaxonomy 124Q00000X
Also ListedDental TherapistTaxonomy 125J00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
1245 FULTON AVE, Coos Bay, OR 97420
Open in Google Maps ↗

Other Names 1

Doing Business AsThree Rivers Health Center - Dental

Other Identifiers 1

Medicaid165383OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2301190

Three Rivers Health Center · Coos Bay, OR
Active · expires Mar 20, 2028
CLIA Number38D2301190
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 21, 2026
Certificate Expiration DateMarch 20, 2028
Laboratory DirectorDr. Basil Pittenger
Laboratory Phone(541) 435-7200
Laboratory LocationThree Rivers Health Center150 S Wall St, Coos Bay, OR 97420
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

NAOMI RACHELLE PETRIE
Technician, Other
1245 FULTON AVE
COOS BAY, OR 97420
Coos County (541) 888-6433
PATRICIA ANNE PEYTON RDH
Dental Hygienist
1245 FULTON AVE
COOS BAY, OR 97420
Coos County (541) 888-6433
MARISSA GARDNER
Technician, Other
1245 FULTON AVE
COOS BAY, OR 97420
Coos County (541) 888-6433
SARAH ANN RODGERS
Dentist
1245 FULTON AVE
COOS BAY, OR 97420
Coos County (541) 888-6433
MARY E. WILLIARD DDS
Dentist
1245 FULTON AVE
COOS BAY, OR 97420
Coos County (541) 888-6433
DARYL K REAVIS DMD
Dentist
1245 FULTON AVE
COOS BAY, OR 97420
Coos County (541) 888-6433
LESLIE HOLLINGSWORTH
Dental Hygienist
1245 FULTON AVE
COOS BAY, OR 97420
Coos County (541) 888-6433

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 Confederated Tribes Of Coos, Lower Umpqua, & Siuslaw Indians's NPI number?

The NPI number for Confederated Tribes Of Coos, Lower Umpqua, & Siuslaw Indians is 1326889023. It was assigned to this organization in the NPPES registry on June 5, 2024. The provider is doing business as Three Rivers Health Center - Dental.

Where is Confederated Tribes Of Coos, Lower Umpqua, & Siuslaw Indians located?

Confederated Tribes Of Coos, Lower Umpqua, & Siuslaw Indians is located at 1245 Fulton Ave, Coos Bay, OR 97420. The listed phone number is (541) 888-6433.

What is Confederated Tribes Of Coos, Lower Umpqua, & Siuslaw Indians's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Does Confederated Tribes Of Coos, Lower Umpqua, & Siuslaw Indians hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2301190) is associated with this NPI, valid through March 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Confederated Tribes Of Coos, Lower Umpqua, & Siuslaw Indians was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.