SHANE LEE COUGHRAN

LA GRANDE, OR
NPI1760983316
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2018-02-27
Last Update Date2018-02-27
Business Address
SHANE LEE COUGHRAN
2301 COVE AVE
LA GRANDE, OR 97850-3906
Phone number: 541-962-8811
Mailing Address
SHANE LEE COUGHRAN
2301 COVE AVE
LA GRANDE, OR 97850-3906
Phone number: 541-962-8811