MISS Kelsey Corrine Coffey

NPI #1548407646 in Portland, Oregon

Provider Information

NPI Number: 1548407646
Entity Type: Individual
Name: MISS Kelsey Corrine Coffey
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: Jan 11, 2009
Last Updated: Jan 11, 2009

Practice Location

Address: 1500 NE IRVING ST
Address 2: SUITE 250
City: Portland
State: Oregon
ZIP Code: 97232-2243
Phone: (503) 233-4356

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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