Individual
JENNIFER K COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5228 NE HOYT ST, BLDG B, 2ND FLOOR, PORTLAND, OR 97213-3055
(503) 215-6490
(503) 215-6477
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD 28874
OR
Other
Enumeration date
06/01/2006
Last updated
02/03/2009
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