Michelle Coffman, PT
Physical Therapist in Portland, OR. Individual provider (NPI-1).
NPI number1821146366
StatusActive
Last updated in NPPESOct 31, 2022
Details
- NPI
- 1821146366
- Entity type
- Individual (NPI-1)
- Name
- Michelle Coffman
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 8, 2007
- Certification date
- Oct 31, 2022
- Last updated
- Oct 31, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 3018 | OR | Yes |
| 225100000X | Physical Therapist | PT00009569 | WA | |
| 2251X0800X | Physical Therapist, Orthopedic | 3018 | OR |
Practice location
1215 Se 8th Ave Ste DPortland, OR 97214-3497
Phone 503-208-4360 · Fax 503-200-1148
Mailing address
1215 Se 8th Ave Ste DPortland, OR 97214-3497
Phone 503-208-4360 · Fax 503-200-1148
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