Individual
JOSHUA MICHAEL COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 NE 18TH AVE, PORTLAND, OR 97232-2822
(503) 880-6341
Mailing address
6285 CALDWELL RD APT 34, GLADSTONE, OR 97027-1573
(503) 880-6341
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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