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Individual

IAN PATRICK COE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
620 RANCH RD, REEDSPORT, OR 97467-1796
(541) 271-2163
(541) 271-4058
Mailing address
600 RANCH RD, REEDSPORT, OR 97467-1795
(541) 271-2171
(541) 271-6380

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD210308
OR
390200000X
Student in an Organized Health Care Education/Training Program
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500807267
OR
Enumeration date
04/22/2019
Last updated
08/14/2024
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