CC
COASTLINE CORVALLIS CLINIC LLC
Adult Day Care
OIG CLEARNPI VERIFIED
Location
CORVALLIS, OR
Licensed since
2015
Rate
—
Federal identifiers
NPI registry number1457735615
Agency details
Parent orgCOASTLINE FOOT AND ANKLE CLINIC
Medicare activity
StatusNo Medicare utilization on file — neutral.
RevalidationDue 2025-10-31
Authorized official
NameLINZIE GOMEZ
TitleMANAGER
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