DR. DEBORAH PADGETT COEHLO PHD C-PNP PMHS NPI 1922180777

NPI Information

NPI: 1922180777
Provider Name: DR. DEBORAH PADGETT COEHLO, PHD, C-PNP, PMHS
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
62930 O B RILEY RD STE 300
BEND, OR
ZIP 97703
Phone: (541) 323-5515
Get Directions

DR. Deborah Padgett Coehlo, PHD, C-PNP, PMHS is a psychiatric/mental health nurse practitioner in Bend, OR. DR. Deborah Padgett Coehlo, PHD, C-PNP, PMHS NPI is 1922180777. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

62930 O B RILEY RD STE 300
BEND, OR
ZIP 97703-459
Phone: (541) 323-5515
Fax: (541) 323-3505

The NPI 1922180777 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 7/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	000039320N2PNP-PP	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	276739	MEDICAID	OREGON
2	271240	MEDICAID	OREGON
3	271240	OTHER	OREGON	MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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