Individual
CORI THYE-COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 973-4762
Mailing address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 774-8201
(541) 774-7979
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW0365
OR
Other
Enumeration date
10/19/2015
Last updated
01/04/2017
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