Evan Ameluxen-Coleman

NPI #1922527878 in Prineville, Oregon

Provider Information

NPI Number: 1922527878
Entity Type: Individual
Name: Evan Ameluxen-Coleman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Sep 12, 2017
Last Updated: Sep 15, 2017

Practice Location

Address: 1590 NE 3RD ST STE B
City: Prineville
State: Oregon
ZIP Code: 97754-2916
Phone: (541) 416-7476

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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