Organization
COEHLO & COEHLO, LLC
Active
Other names
Juniper Ridge Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS E COEHLO FNP-C (OWNER)
(541) 385-5515
Entity
Organization
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
364SF0001X
Family Health Clinical Nurse Specialist
Primary
090007430N1
OR
Other
Enumeration date
08/24/2007
Last updated
05/13/2022
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