- Practice location
- 8915 SW Center St, Tigard, OR 97223-6307
- Phone
- 503-726-3690
- Fax
- —
- Last updated
- March 17, 2020
Crystal Lee Coburn is a Peer Specialist based in Tigard, OR. Crystal Lee Coburn practices in Tigard, OR. The NPI Number for Crystal Lee Coburn is 1366099004. The current practice location address for Crystal Lee Coburn is 8915 SW Center St, Tigard, OR 97223-6307 and can be reached out via phone at 503-726-3690.
Provider Profile Details
- NPI Number
- 1366099004
- Provider Name
- Crystal Lee Coburn
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 8915 SW Center St, Tigard, OR 97223-6307
- Phone Number
- 503-726-3690
- Primary Taxonomy
- Peer Specialist · 175T00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 19, 2019
- Last Update Date
- March 17, 2020
- Certification Date
- March 17, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 8915 SW Center St
Tigard, OR 97223-6307 - City
- Tigard
- State
- Oregon
- Zip
- 97223-6307
- Phone Number
- 503-726-3690
Provider Business Mailing Address Details
- Address
- 8915 SW Center St
Tigard, OR 97223-6307 - City
- Tigard
- State
- OR
- Zip
- 97223-6307
- Phone Number
- 503-726-3690
License Information
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- Taxonomy (2)
- Peer Specialist · 175T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Peer Specialists near Tigard, OR
View all Peer Specialists in Tigard →Frequently Asked Questions
What is the NPI number of Crystal L Coburn?
The NPI number of Crystal L Coburn is 1366099004. It was assigned on August 19, 2019 and is currently active in the NPPES registry.
What is the specialty of Crystal L Coburn?
Crystal L Coburn is registered under the primary taxonomy Peer Specialist (code 175T00000X).
Where does Crystal L Coburn practice?
The practice location is 8915 SW Center St, Tigard, OR 97223-6307. The office can be reached at 503-726-3690 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366099004 directly on the NPPES registry website.