Coburn, Crystal Lee

Coburn, Crystal Lee is an individual health care provider with primary practice located at 8915 Sw Center St , Tigard OR 97223-6307. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Coburn, Crystal Lee can be contacted via phone (503) 726-3690.

Contact Information

Primary practice address
8915 Sw Center St Tigard OR 97223-6307
Phone: (503) 726-3690
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1366099004
LBN Legal business name Coburn, Crystal Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2019
Last updated Mar 17th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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