| NPI | 1225382617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH PADGETT COEHLO Managing Member 541-323-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2019-09-09 |