STEPHEN COFFIN

PORTLAND, OR
NPI1235376310
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Additional Taxonomies372600000X Adult Companion
Enumeration Date2009-01-12
Last Update Date2009-01-14
Business Address
STEPHEN COFFIN
2415 SE 43RD AVE
PORTLAND, OR 97206-1600
Phone number: 503-238-0705
Mailing Address
STEPHEN COFFIN
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769