Individual
THOMAS EUGENE COEHLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, MSN, FNP-C
Contact information
Practice address
132 SW CROWELL WAY STE 100, BEND, OR 97702-1178
(541) 385-5515
(541) 385-5578
Mailing address
132 SW CROWELL WAY STE 100, BEND, OR 97702-1178
(541) 385-5515
(541) 385-5578
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
090007430N1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006372
—
OR
Enumeration date
11/30/2005
Last updated
05/13/2022
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