Coughlin, James M

Coughlin, James M is an individual health care provider with primary practice located at 4212 Ne Broadway St , Portland OR 97213-1460. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Coughlin, James M can be contacted via phone (503) 249-8787.

Contact Information

Primary practice address
4212 Ne Broadway St Portland OR 97213-1460
Phone: (503) 249-8787
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD 24278 Oregon

Profile Details

NPI number 1932276334
LBN Legal business name Coughlin, James M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Feb 24th, 2011 - about 14 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 1932276334 NPPES
Oregon MEDICAID 22702-0

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