Individual
BETSY L COFFIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1770 E 25TH AVE, EUGENE, OR 97403-1805
(555) 555-5555
Mailing address
1770 E 25TH AVE, EUGENE, OR 97403-1805
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/06/2011
Last updated
05/18/2012
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