Individual
ROBERT ISAAC COLEMAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 NW EVERETT ST, PORTLAND, OR 97209-3517
(503) 222-4906
(503) 222-3215
Mailing address
1507 NE SARATOGA ST, PORTLAND, OR 97211-4727
(503) 222-4906
(503) 222-3215
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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