Individual
PATRICIA ANNE COLDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
149 W 12TH AVE, EUGENE, OR 97401-3408
(541) 762-4400
(541) 684-4156
Mailing address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
(541) 684-4148
(541) 762-0606
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13-03-11
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50071930
—
OR
Enumeration date
08/31/2016
Last updated
11/14/2017
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