Coehlo, Thomas Eugene

Coehlo, Thomas Eugene is an sole proprietor health care provider with primary practice located at 132 Sw Crowell Way Ste 100 , Bend OR 97702-1178. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Coehlo, Thomas Eugene can be contacted via phone (541) 385-5515.

Contact Information

Primary practice address
132 Sw Crowell Way Ste 100 Bend OR 97702-1178
Fax: (541) 385-5578
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 090007430N1 Oregon

Profile Details

NPI number 1003890351
LBN Legal business name Coehlo, Thomas Eugene
Credentials RN, MSN, FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2005
Last updated May 13th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003890351 NPPES
Oregon MEDICAID 006372

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