| Ko-kwel Wellness Center | |
|
630 Miluk Dr Coos Bay OR 97420-7728 | |
| (541) 888-9494 | |
| (541) 888-4435 |
| Full Name | Ko-kwel Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 630 Miluk Dr, Coos Bay, Oregon |
| Authorized Official Name and Position | Charise Rich (BILLING MANAGER) |
| Authorized Official Contact | 5418889494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ko-kwel Wellness Center 630 Miluk Dr Coos Bay OR 97420-7728 Ph: (541) 888-9494 | Ko-kwel Wellness Center 630 Miluk Dr Coos Bay OR 97420-7728 Ph: (541) 888-9494 |
| NPI Number | 1376592287 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 09/28/2026 |
| Certification Date | 09/28/2026 |
| Medicare PECOS PAC ID | 6002805330 |
|---|---|
| Medicare Enrollment ID | O20040511000663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376592287 | NPI | - | NPPES |
| 165031 | Medicaid | OR |
| Provider Name | Basil Pittenger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225013485 PECOS PAC ID: 8729060843 Enrollment ID: I20040603000027 |
| Provider Name | Allison Henrie |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366555153 PECOS PAC ID: 2264437631 Enrollment ID: I20060919000437 |
| Provider Name | Danielle L Jensen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578664710 PECOS PAC ID: 4183621097 Enrollment ID: I20061106000491 |
| Provider Name | Danica Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972792992 PECOS PAC ID: 0840456307 Enrollment ID: I20120727000204 |
| Provider Name | Sabrina Noel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881915015 PECOS PAC ID: 3476707878 Enrollment ID: I20130213000116 |
| Provider Name | Juliette L Hyatt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205178811 PECOS PAC ID: 5991943995 Enrollment ID: I20130604000144 |
| Provider Name | Moxie Loeffler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497026272 PECOS PAC ID: 6608014238 Enrollment ID: I20160112002126 |
| Provider Name | Richard S Nile |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215485982 PECOS PAC ID: 2567740624 Enrollment ID: I20161025002473 |
| Provider Name | Kim a Codding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326358607 PECOS PAC ID: 8426200494 Enrollment ID: I20170307000864 |
| Provider Name | James Alan Maddox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932216751 PECOS PAC ID: 3577455112 Enrollment ID: I20200727001178 |
| Provider Name | Daniel John Carlson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659916690 PECOS PAC ID: 2769883792 Enrollment ID: I20210629001272 |
| Provider Name | Tyler D Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447928494 PECOS PAC ID: 2769858042 Enrollment ID: I20221012002252 |
| Provider Name | Leeandria Witcraft |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053884791 PECOS PAC ID: 5193130110 Enrollment ID: I20240129001025 |
| Provider Name | Jennie Cirincione |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255007498 PECOS PAC ID: 2961846399 Enrollment ID: I20240214000223 |
| Provider Name | Gina Allison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669787115 PECOS PAC ID: 3072950278 Enrollment ID: I20240324000079 |
| Provider Name | Gabrielle Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952144156 PECOS PAC ID: 8426593716 Enrollment ID: I20240710005117 |
| Provider Name | Ashley Anne Phillips |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659110013 PECOS PAC ID: 6305383076 Enrollment ID: I20240731002217 |
| Provider Name | Ashley Anne Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659110013 PECOS PAC ID: 6305383076 Enrollment ID: I20241002003405 |
| Provider Name | Sean Michael Finnegan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366271041 PECOS PAC ID: 7416489489 Enrollment ID: I20241015003037 |
| Provider Name | Allison Eil Elmer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356082309 PECOS PAC ID: 1153854336 Enrollment ID: I20241025002817 |
| Provider Name | Andrea Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295042331 PECOS PAC ID: 6406039460 Enrollment ID: I20250130001138 |
| Provider Name | Elizabeth Barrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407286503 PECOS PAC ID: 0547575672 Enrollment ID: I20250730002666 |
| Provider Name | Ryan Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356755581 PECOS PAC ID: 6608245501 Enrollment ID: I20260325003085 |
| Provider Name | Anita Powell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346720067 PECOS PAC ID: 3870929250 Enrollment ID: I20260410001476 |
| Provider Name | Sarady Tan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497774319 PECOS PAC ID: 7315171543 Enrollment ID: I20260505000426 |
| Provider Name | Scott Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982185120 PECOS PAC ID: 8123450707 Enrollment ID: I20260505002444 |
Indigenous Healthcare Advancements, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1032 Seagate Ave, Coos Bay, OR 97420 Phone: 808-214-7269 |
Coos Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Central Ave, Suite 418, Coos Bay, OR 97420 Phone: 541-294-0257 |
Nisha Jackson PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2590 Woodland Dr, Coos Bay, OR 97420 Phone: 541-217-2022 |
Baaake Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 790 Anderson Ave, Coos Bay, OR 97420 Phone: 541-224-6230 |
Coquille Valley Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2699 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3600 Fax: 541-824-1702 |
Nbmc-main Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4501 |