Sharon Marie Fivecoats
Case Manager/Care Coordinator in Portland, OR. Individual provider (NPI-1).
NPI number1154889871
StatusActive
Last updated in NPPESMar 12, 2019
Details
- NPI
- 1154889871
- Entity type
- Individual (NPI-1)
- Name
- Sharon Marie Fivecoats
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 12, 2019
- Last updated
- Mar 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
722 Ne 162nd AvePortland, OR 97230-5760
Phone 503-239-8101 · Fax 503-408-4735
Mailing address
722 Ne 162nd AvePortland, OR 97230-5760
Phone 503-239-8101 · Fax 503-408-4735
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