Healthcare Provider Details

I. General information

NPI: 1659206704
Provider Name (Legal Business Name): COQUILLE VALLEY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 8TH ST
MYRTLE POINT OR
97458-1214
US

IV. Provider business mailing address

2645 N 17TH ST
COOS BAY OR
97420-2134
US

V. Phone/Fax

Practice location:
  • Phone: 541-824-0400
  • Fax: 541-592-7497
Mailing address:
  • Phone: 541-396-3101
  • Fax: 541-824-1702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: BRIAN JOSEPH OHEARN
Title or Position: CNO
Credential:
Phone: 541-396-1052