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1235376310
STEPHEN COFFIN
PORTLAND, OR
NPI
1235376310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Additional Taxonomies
372600000X Adult Companion
Enumeration Date
2009-01-12
Last Update Date
2009-01-14
Business Address
STEPHEN COFFIN
2415 SE 43RD AVE
PORTLAND, OR 97206-1600
Phone number: 503-238-0705
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Mailing Address
STEPHEN COFFIN
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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