Individual
MADELINE HARRIS COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
1700 12TH ST STE C, HOOD RIVER, OR 97031-9005
(541) 716-1316
Mailing address
1681 NW CAITLIN TER, PORTLAND, OR 97229-4697
(503) 709-9498
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
439252
OR
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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