Individual
CHARLES E COUTURE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1775 THOMPSON RD, COOS BAY, OR 97420-2125
(541) 269-8020
Mailing address
PO BOX 349, 1860 VIRGINIA AVE, SUITE 9, NORTH BEND, OR 97459-0106
(541) 756-2070
(541) 756-1999
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027849
—
OR
Enumeration date
05/25/2006
Last updated
07/09/2007
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