DR. Charles Coughlin, DC

NPI #1407452287 in Gresham, Oregon

Provider Information

NPI Number: 1407452287
Entity Type: Individual
Name: DR. Charles Coughlin, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Dec 8, 2020
Last Updated: Dec 8, 2020

Practice Location

Address: 22124 NE GLISAN ST
City: Gresham
State: Oregon
ZIP Code: 97030-8553
Phone: (503) 618-0147

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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