Baaake | |
790 Anderson Ave Coos Bay OR 97420-4627 | |
(541) 224-6230 | |
Not Available |
Full Name | Baaake |
---|---|
Speciality | Clinic/center |
Location | 790 Anderson Ave, Coos Bay, Oregon |
Authorized Official Name and Position | Bryon Blackwell (OWNER) |
Authorized Official Contact | 9132000005 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Baaake 790 Anderson Ave Coos Bay OR 97420-4627 Ph: (541) 224-6230 | Baaake 790 Anderson Ave Coos Bay OR 97420-4627 Ph: (541) 224-6230 |
NPI Number | 1336014802 |
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Provider Enumeration Date | 10/06/2025 |
Last Update Date | 10/06/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336014802 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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