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Individual

PORSCHIA COLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1818 E REZANOF DR, KODIAK, AK 99615-6505
(907) 481-2400
Mailing address
PO BOX 3290, PORTLAND, OR 97208-3290
(866) 907-1068
(425) 917-9141

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
219915
AK

Other

Enumeration date
01/16/2024
Last updated
03/11/2024
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