# COBURN HEALTH CONSULTING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871020123
- **Authorized official:** SALLY L COBURN FNP-BC (OWNER)
- **Authorized official phone:** (907) 854-8840

## Contact information

- **Practice address:** 4401 BUSINESS PARK BLVD \# N-26, ANCHORAGE, AK 99503-7172
- **Practice address phone:** (907) 854-8840
- **Mailing address:** 18828 MOOSE PLACE, CHUGIAK, AK 99567-6645
- **Mailing address phone:** (907) 854-8840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/17/2017
- **Last updated:** 05/17/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1022977 | — | AK |