NPI 1629212329
Dustin Shane Coles, CCP
Practice location
- Address
- 10180 SE Sunnyside Rd, Clackamas, OR 97015-8970
- Phone
- (503) 571-7662
- Mailing address
- 3 Maryland Farms STE 200, Brentwood, TN 37027-5780
Registered specialties
Perfusionist
Primary
Registry record
- NPI
- 1629212329
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Apr 2009
- Record last updated
- 21 Mar 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.