Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians

Organization Dental Therapist · NPI 1780755454

Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians is a Dental Therapist in Coos Bay, Oregon. Works from 2 locations. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
7

Practice location Address checks out

150 S Wall St
Coos Bay, OR 97420-3233
Phone: (541) 435-7200
Fax: (541) 888-0025
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 250 Hull St, Coos Bay, OR 97420-3038 — (541) 435-7200

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Dental Therapist Taxonomy 125J00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Community Health Clinic/Center Taxonomy 261QC1500X
Federally Qualified Health Center (FQHC) Taxonomy 261QF0400X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Taxonomy 332800000X

Record details

NPI number1780755454
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Davon Smith — Chief Operations Officer · (541) 294-0595
Other names Three Rivers Health Center - Coos Bay; Three Rivers Health Center - Coos Bay; Confederated Tribes Of Coos, Lower Umpqua & Siuslaw Indians
NPI enumeratedNovember 13, 2006
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026
Mailing address150 S Wall St, Coos Bay, OR 97420-3233

Other providers in Coos Bay