Individual
DR. DEBORAH PADGETT COEHLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, C-PNP, PMHS
Contact information
Practice address
62930 O B RILEY RD STE 300, BEND, OR 97703-9459
(541) 323-5515
(541) 323-3505
Mailing address
62930 O B RILEY RD STE 300, BEND, OR 97703-9459
(541) 323-5515
(541) 323-3505
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
000039320N2PNP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271240
MEDICARE
OR
05
—
271240
—
OR
05
—
276739
—
OR
Enumeration date
10/20/2006
Last updated
07/11/2019
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