NPIMap

Organization Active NPI

Coehlo & Coehlo, LLC

  • Family Health Clinical Nurse Specialist
  • Bend, OR
National Provider Identifier
1881887602
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
090007430N1 Issued in OR
Legal business name
COEHLO & COEHLO, LLC
Practice address
132 SW Crowell Way Ste 100
Bend, OR 97702-1178
Phone
(541) 385-5515
Fax
(541) 385-5578
NPI assigned
Aug 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas E Coehlo, FNP-CNPI 1003890351
Title
Owner
Phone
(541) 385-5515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SF0001X 090007430N1 OR Primary

Addresses

Primary practice location

132 SW Crowell Way Ste 100
Bend, OR 97702-1178

Mailing address

132 SW Crowell Way Ste 100
Bend, OR 97702-1178
Phone (541) 385-5515

Other names 1

  • Juniper Ridge Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

2275 NE Doctors Dr
Ste 8
Bend, OR 97701
Phone (541) 385-5515

132 SW Crowell Way
Ste 100
Bend, OR 97702
Phone (541) 385-5515

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1881887602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 SW CROWELL WAY STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021178",
            "telephone_number": "541-385-5515",
            "fax_number": "541-385-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 SW CROWELL WAY STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021178",
            "telephone_number": "541-385-5515",
            "fax_number": "541-385-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COEHLO & COEHLO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "COEHLO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-385-5515",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "OR",
            "license": "090007430N1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juniper Ridge Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Juniper Ridge Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.