COASTAL MEDICAL GROUP, PS (NPI# 1679768063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679768063 |
| Entity Type | Organization |
| Organization Name | COASTAL MEDICAL GROUP, PS |
| Practice Address |
840 N 5th Ave Suite 1500 Sequim WA 98382-3045 |
| Practice Telephone | 3605822840 |
| Practice Fax Number | 3605822841 |
| Mailing Telephone | 3605822840 |
| Mailing Fax Number | 3605822841 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |
| Authorized Official Name | MS. REBECCA S CORLEY (PRESIDENT) |
| Authorized Official Telephone | 3605822840 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7111487 | 05 |
| Street Address |
840 N 5TH AVE SUITE 1500 |
| City | SEQUIM |
| State | WA |
| Zip Code | 98382-3045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457326597 | Kari Devick Olsen | Family Medicine | 840 N 5th Ave, Ste 2100, Sequim, WA 98382-3045 | 2006-02-22 |
| 1467800425 | Kenneth Yen Huang | Nurse Practitioner | 840 N 5th Ave, Suite 1400, Sequim, WA 98382-3045 | 2016-06-01 |
| 1598139701 | Jennifer Hunter | Nurse Practitioner | 840 N 5th Ave, Suite 1500, Sequim, WA 98382-3045 | 2015-11-25 |
| 1184823403 | Militza Ausmanas | Family Medicine | 840 N 5th Ave, Suite 2100, Sequim, WA 98382-3045 | 2007-07-17 |
| 1235232745 | Alan S Kowitz | Specialist | 840 N 5th Ave, Sequim, WA 98382-3045 | 2006-09-07 |
| 1346358405 | Joel Robert Finman | Family Medicine | 840 N 5th Ave, Ste 1400, Sequim, WA 98382-3045 | 2006-08-29 |
| 1033163381 | Charles D Sullivan | Family Medicine | 840 N 5th Ave, Ste 2100, Sequim, WA 98382-3045 | 2006-05-20 |
| 1295789659 | Roger Olsen | Family Medicine | 840 N 5th Ave, Ste 2100, Sequim, WA 98382-3045 | 2006-05-20 |
| 1083666002 | Samantha F Reiter | Internal Medicine | 840 N 5th Ave, Ste 100, Sequim, WA 98382-3045 | 2006-05-17 |
| 1538138714 | Suree Chommuang | Nurse Practitioner | 840 N 5th Ave, Sequim, WA 98382-3045 | 2006-03-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760032841 | Dale I King | Technician | 512 Lostwood Lane, Sequim, WA 98382 | 2019-09-19 |
| 1831661164 | Katheryn Murray | Community Health Worker | 80 Spencer Rd Spc 10, Sequim, WA 98382 | 2018-12-27 |
| 1306314349 | Tera Joyce Phillips | Counselor | 112 S Solmar Dr, Sequim, WA 98382 | 2018-11-07 |
| 1275025595 | Peninsula Counseling | Social Worker | 435 West Bell St Suite D, Sequim, WA 98382 | 2018-06-01 |
| 1437661816 | Kathryn Elizabeth Sanford | Registered Nurse | 720 Carlsborg Rd, Sequim, WA 98382 | 2017-10-25 |
| 1407271935 | Hoa Lien Trinh | Denturist | 124 W. Spruce St., Sequim, WA 98382 | 2014-02-20 |
| 1306267323 | Pamela Hursey-king | Occupational Therapist | 600 West Hemlock St, Sequim, WA 98382 | 2013-12-17 |
| 1821419060 | Cortney Woodford | Speech-Language Pathologist | 600 West Hemlock Street, Sequim, WA 98382 | 2013-12-13 |
| 1851638043 | Sonja Ann Bittner | Registered Nurse | 503 North Sequim Ave, Sequim, WA 98382 | 2013-01-09 |
| 1063796175 | Peak Performance Therapy LLC | Occupational Therapist | 519 Eureka Way, Suite 2, Sequim, WA 98382 | 2011-10-07 |
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| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154866572 | Angela M.paddock L.m.p. | Specialist | 720 E Washington St Ste 108, Sequim, WA 98382-3801 | 2016-12-20 |
| 1730581943 | Soluna Inc | Specialist | 319 1/2 W Bell St, Sequim, WA 98382-3756 | 2014-09-18 |
| 1952434268 | Olympic Medical Specialty Clinic - Sequim | Specialist | 840 North 5th Avenue, Suite 1500, Sequim, WA 98382 | 2007-03-14 |
| 1063442374 | E Brooks Mcmillan | Specialist | 512 East Washington St, Sequim, WA 98382 | 2006-07-03 |
| 1588663736 | Rebecca S Corley | Specialist | 777 N 5th Ave, Suite 103, Sequim, WA 98382-3080 | 2005-07-19 |
| 1114198199 | Avalon Massage & Day Spa | Specialist | 660 W Evergreen Farm Way, #6065, Sequim, WA 98382-5097 | 2008-03-18 |
| 1265584353 | Sidney L Barthell | Specialist | 127 W Bell St, Sequim, WA 98382-3752 | 2007-01-17 |
| 1235232745 | Alan S Kowitz | Specialist | 840 N 5th Ave, Sequim, WA 98382-3045 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643978 | Roxanne Grant-duell | Specialist | 12811 Canyon Rd E Ste D, Puyallup, WA 98373-6301 | 2020-06-08 |
| 1710500814 | Foundation Speech Language Learning | Specialist | 7406 27th St W Ste 24a, University Place, WA 98466-4636 | 2020-05-22 |
| 1477172963 | Gary W Bangs | Specialist | 325 9th Ave # Ms 359860, Seattle, WA 98104-2420 | 2020-04-14 |
| 1073153748 | Eric Vincent Currier | Specialist | 7218 Linden Ave. N., Seattle, WA 98103 | 2020-01-10 |
| 1457918351 | Barbara Irene Syverson | Specialist | 418 Ne 4th Ave Ste 105, Camas, WA 98607-2158 | 2019-05-26 |
| 1699231662 | Lice Spies LLC | Specialist | 8923 236th St Sw Ste C, Edmonds, WA 98026-9508 | 2019-02-14 |
| 1376019802 | Tina King | Specialist | 18 Nw 20th Ave Ste 103, Battle Ground, WA 98604-4175 | 2018-10-23 |
| 1538635420 | Amy Yvonne Galindo-ortega | Specialist | 9105 Ne Highway 99 Ste 201, Vancouver, WA 98665-8974 | 2018-10-17 |
| 1780150904 | Lita Fogle | Specialist | 6926 Ne Fourth Plain Blvd Ste 100, Vancouver, WA 98661-7254 | 2018-10-15 |
| 1083199327 | Linnea Joy Wahlstrom-tarbet | Specialist | 8524 Steilacoom Blvd Sw Ste 201b, Lakewood, WA 98498-4772 | 2018-10-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.