BENJAMIN GORDON COULAM

MONMOUTH, OR
NPI1376103887
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  201904528NP-PP)
Enumeration Date2019-06-17
Last Update Date2019-06-17
Business Address
Dr. BENJAMIN GORDON COULAM DNP
512 MAIN ST E
MONMOUTH, OR 97361-2369
Phone number: 503-838-1182
Mailing Address
Dr. BENJAMIN GORDON COULAM DNP
512 MAIN ST E
MONMOUTH, OR 97361-2369
Phone number: