Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians
Primary Care
150 S Wall St, Coos Bay
Oregon, 97420-3233
541-435-7200 541-888-0025
Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians is a Primary Care in Coos Bay, Oregon. It is located at 150 S Wall St, Coos Bay and it's customer support contact number is 541-435-7200. The authorized person of Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians is Davon Lorenzo Smith who is Chief Operations Officer of the pharmacy and his contact number is 541-294-0595.
Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians is definition to come...
Pharmacy Details:
Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians |
| Type: | Primary Care |
| Location: | 150 S Wall St, Coos Bay,
Oregon, 97420-3233 |
| Phone: | 541-435-7200 |
| Fax: | 541-888-0025 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Davon Lorenzo Smith |
| Position: | Chief Operations Officer |
| Contact Number: | 541-294-0595 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1780755454 |
| NPI Enumeration Date: | 13 Nov, 2006 |
| NPI Last Update On: | 26 Nov, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians are as mentioned below.
| Specialization | License Number | State | Status | |
| Primary Care | | | Primary | |
| Cardiovascular Disease | | | Secondary | |
| Dental Therapist | | | Secondary | |
| Community/behavioral Health | | | Secondary | |
| Federally Qualified Health Center (FQHC) | | | Secondary | |
| Community Health | | | Secondary | |
| Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 165383 | Medicaid | Oregon | |
| 500838955 | Medicaid | Oregon | |
| RP-0003971 | Other | Oregon | Oregon Board Of Pharmacy - Retail Drug Outlet |
| RP-0003971-CS | Other | Oregon | Oregon Board Of Pharmacy - Controlled Substance |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 150 S Wall St,
Coos Bay, Oregon |
| Zip: | 97420-3233 |
| Phone Number: | 541-435-7200 |
| Fax Number: | 541-888-0025 |
Patients can reach Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians at
150 S Wall St, Coos Bay, Oregon or can
call on customer care at 541-435-7200.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.