Individual
DR. MARY ELLEN COULTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 NW HILL ST, BEND, OR 97701-2951
(541) 312-4426
(541) 312-8010
Mailing address
1940 NW MONTEREY PINES DR, #4, BEND, OR 97701-5288
(541) 390-8135
(541) 390-8010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13437
OR
Other
Enumeration date
10/26/2006
Last updated
07/09/2007
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