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Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians

Primary Care Clinic/Center in Coos Bay, OR · enumerated 2006 · authorized official Davon Smith, Chief Operations Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780755454

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Registry record

Entity type Organization (Type 2)
Legal business name Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians
Other name <Unavail>
Practice address 150 S Wall St, Coos Bay, OR, 97420
Fax (541) 888-0025
Enumeration date Nov 13, 2006
Last updated in NPPES Apr 13, 2026

Taxonomy & classification

125J00000X Dental Therapist Dental Providers Secondary
207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary
251S00000X Community/Behavioral Health Agency Agencies Secondary
261QC1500X Community Health Clinic/Center Ambulatory Health Care Facilities Secondary
261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Secondary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary
332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Suppliers Secondary

Authorized official

Name Davon Smith
Title Chief Operations Officer

Other identifiers

Identifier Type State Issuer
165383 Medicaid OR -
500838955 Medicaid OR -
RP-0003971 Other OR OREGON BOARD OF PHARMACY - RETAIL DRUG OUTLET
RP-0003971-CS Other OR OREGON BOARD OF PHARMACY - CONTROLLED SUBSTANCE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians?
Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians is registered in NPPES as a Primary Care Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-04-13.