Shane Lee Coughran

NPI #1760983316 in La Grande, Oregon

Provider Information

NPI Number: 1760983316
Entity Type: Individual
Name: Shane Lee Coughran
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Feb 27, 2018
Last Updated: Feb 27, 2018

Practice Location

Address: 2301 COVE AVE
City: La Grande
State: Oregon
ZIP Code: 97850-3906
Phone: (541) 962-8811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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