Individual
LAURA ANN COBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BED
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 328-0420
Mailing address
2273 SE 41ST AVE, PORTLAND, OR 97214-5925
(503) 449-6037
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/13/2007
Last updated
03/23/2012
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