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1366099004
CRYSTAL LEE COBURN
TIGARD, OR
NPI
1366099004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2019-08-19
Last Update Date
2020-03-17
Business Address
CRYSTAL LEE COBURN
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
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Mailing Address
CRYSTAL LEE COBURN
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
Copy
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