Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | MD00029203 | WA |
N | 207XS0106X | Orthopaedic Hand Surgeon | MD15003 | HI |
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD18258 | OR |
NPI | 1295730802 |
---|---|
Provider Name | Michael R Coe |
First Address | Bend, OR 97703-8248 |
Second Address | Bend, OR 97701-4281 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2005 |
Last Update Date | 06/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
057666 | (05) | OR |
F33915 | (02) | |
MD18258 | OBME (01) | OR |