Individual
TRICIA LYNNE COUTURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
19790 DRY CANYON AVE, BEND, OR 97702-3034
(541) 678-2091
Mailing address
19790 DRY CANYON AVE, BEND, OR 97702-3034
(541) 678-2091
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200050037NP
OR
Other
Enumeration date
04/01/2008
Last updated
04/01/2013
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