Individual
SHANNON COFFARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 BROADWAY ST, SEASIDE, OR 97138-7845
(503) 325-5722
Mailing address
65 N HIGHWAY 101 STE 204, WARRENTON, OR 97146-9371
(503) 325-5722
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
100968
CA
Other
Enumeration date
07/14/2022
Last updated
09/18/2025
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