Individual
CATHERINE M COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
142 DEARBORN ST, UNION, OR 97883
(541) 562-6062
Mailing address
PO BOX 986, UNION, OR 97883-0986
(541) 562-6062
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
200450010NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200342385RN
RN
OR
01
—
PNP-PP 200450010NP
PNP LIC #
OR
Enumeration date
09/04/2008
Last updated
09/04/2008
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