Healthcare Provider Details

I. General information

NPI: 1306643721
Provider Name (Legal Business Name): APRIL COUGHLIN DACM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/25/2025
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2834 NW PINEVIEW DR
ALBANY OR
97321-9656
US

IV. Provider business mailing address

2834 NW PINEVIEW DR
ALBANY OR
97321-9656
US

V. Phone/Fax

Practice location:
  • Phone: 908-797-1933
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number20140
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC228097
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: