Individual
JEFF R. COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
693 NE STEPHENS STREET, SUITE A, ROSEBURG, OR 97470-3166
(541) 643-1375
(541) 464-8700
Mailing address
693 NE STEPHENS ST STE A, ROSEBURG, OR 97470-3166
(541) 643-1375
(541) 464-8700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1332
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297201
—
OR
Enumeration date
10/04/2006
Last updated
08/04/2008
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