| Oregon Coast Wound Center Llc | |
|
1610 Thompson Rd, Coos Bay, OR 97420-2150 | |
| (541) 329-2555 | |
| (971) 233-3243 |
| Full Name | Oregon Coast Wound Center Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1610 Thompson Rd, Coos Bay, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427923192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Oregon Coast Wound Center Llc 780 2nd St Se Ste 7, Bandon, OR 97411-8354 Ph: (541) 329-2555 | Oregon Coast Wound Center Llc 1610 Thompson Rd, Coos Bay, OR 97420-2150 Ph: (541) 329-2555 |
Ryan D Pederson, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4506 | |
Logan Gull, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4506 |