Individual
MRS. ANNIE REBECCA COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
9110 NE 13TH ST, VANCOUVER, WA 98664-2487
(503) 200-8102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201142490RN
OR
Other
Enumeration date
08/27/2011
Last updated
08/27/2011
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