Individual provider · Type 1 NPI

Crystal Lee Coburn

Peer Specialist · Tigard, OR

NPI number 1366099004 Active

Practice location

8915 SW Center St
Tigard, OR 97223-6307

Call (503) 726-3690 Map

Other practice locations

  • 805 SE 151st Ave, Portland, OR 97233-2916 · (971) 271-7270

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1366099004

Crystal Lee Coburn's National Provider Identifier is 1366099004, issued on Aug 19, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tigard, OR. The record was last updated on Mar 17, 2020.