Individual
STEPHAN W COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1304 MONTELLO AVE, HOOD RIVER, OR 97031-1544
(541) 387-8992
(541) 387-6269
Mailing address
PO BOX 1193, CORVALLIS, OR 97339-1193
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD24190
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181694
—
OR
Enumeration date
04/18/2006
Last updated
02/19/2021
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