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

COASTLINE CORVALLIS CLINIC LLC
NPI 1457735615
Clinic/Center - Ambulatory Surgical in Corvallis, OR

Active since July 16, 2015
1829 NW KINGS BLVD, CORVALLIS, OR 97330(541) 757-7100 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2020, Jan 7, 2020, Dec 30, 2019 and 1 more (4 updates tracked since 2018).

About Coastline Corvallis Clinic Llc NPPES

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

COASTLINE CORVALLIS CLINIC LLC (NPI 1457735615), doing business as Coastline Foot And Ankle Center, is a healthcare organization registered as an ambulatory surgical in Corvallis, Oregon and active in the NPI registry since July 2015. The organization lists Linzie Gomez, Manager, as its authorized official.

NPPES Registry Identity

NPI1457735615
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCOASTLINE CORVALLIS CLINIC LLC
Location Address1829 NW KINGS BLVDCorvallis, OR 97330-1907
Mailing Address1829 Nw Kings BlvdCorvallis, OR 97330-1907 · (541) 757-7100 · Fax (541) 757-7101
Phone(541) 757-7100
Organization SubpartYesParent: Coastline Foot And Ankle Clinic
Authorized OfficialLinzie GomezManager · (503) 370-8784
Enumeration DateJuly 16, 2015
Last NPPES UpdateMarch 10, 20204 updates tracked since enumeration
NPPES CertifiedMarch 10, 2020
✔ NPI 1457735615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in OR · DP154513
1829 NW KINGS BLVD, Corvallis, OR 97330
Open in Google Maps ↗

Other Names 1

Former Legal Business NameCoastline Foot And Ankle Center

Other Identifiers 1

MedicaidR164712OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. GREGORY T SORIANO DMD
Dentist
1829 NW KINGS BLVD
CORVALLIS, OR 97330
Benton County (541) 752-5048
CORVALLIS FAMILY DENTISTRY, LLC
Dentist (General Practice)
1829 NW KINGS BLVD
CORVALLIS, OR 97330
Benton County (541) 752-5048

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 Coastline Corvallis Clinic LLC's NPI number?

The NPI number for Coastline Corvallis Clinic LLC is 1457735615. It was assigned to this organization in the NPPES registry on July 16, 2015. The provider was formerly known as Coastline Foot And Ankle Center.

Where is Coastline Corvallis Clinic LLC located?

Coastline Corvallis Clinic LLC is located at 1829 NW Kings Blvd, Corvallis, OR 97330. The listed phone number is (541) 757-7100.

What is Coastline Corvallis Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

What insurance does Coastline Corvallis Clinic LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Coastline Corvallis Clinic LLC 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 Coastline Corvallis Clinic LLC was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.