| NPI | 1881418176 |
|---|---|
| Other Name | COFFEE CREEK CORRECTIONAL FACILITY |
| Entity Type | Organization |
| Authorized Contact | ROB CORY NUTT Chief Pharmacy Officer 503-986-6967 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-11-13 |