Individual provider · Type 1 NPI
Kelsey Corrine Coffey
Children's Substance Abuse Rehabilitation Facility · Portland, OR
Practice location
1500 NE Irving St, Suite 250
Portland, OR 97232-2243
Mailing address
16272 SE Lillian Ct
Milwaukie, OR 97267-5344
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Children's Substance Abuse Rehabilitation Facility Primary | 3245S0500X | None listed |
Children's Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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About NPI 1548407646
Kelsey Corrine Coffey's National Provider Identifier is 1548407646, issued on Jan 11, 2009. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Portland, OR. The record was last updated on Jan 11, 2009.