Individual
ERIC C COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1315 NW 4TH STREET, SUITE B TAI CENTRAL OREGON REDMOND, REDMOND, OR 97756-1328
(541) 923-7494
(541) 504-9153
Mailing address
16083 SW UPPER BOONES FERRY RD, STE. 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0400003482
VT
225100000X
Physical Therapist
Primary
4706
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232085
—
OR
01
—
P01384716
RR MEDICARE PTAN
OR
Enumeration date
12/13/2005
Last updated
01/05/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us