Crystal Lee Coburn, is a
Peer Specialist based in Tigard, Oregon. Crystal Lee Coburn is licensed to practice in * (Not Available) (license number ) and her current practice location is
8915 Sw Center St, Tigard, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 726-3690.
NPI number for Crystal Lee Coburn is 1366099004 and her current mailing address is 8915 Sw Center St, Tigard, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366099004.
Healthcare Provider's Profile
Full Name | Crystal Lee Coburn |
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Gender | Female |
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Speciality | Peer Specialist |
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Location | 8915 Sw Center St, Tigard, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366099004
- Provider Enumeration Date: 08/19/2019
- Last Update Date: 03/17/2020
Medical Identifiers
Medical identifiers for Crystal Lee Coburn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366099004 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
175T00000X | Peer Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Lee Coburn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Crystal Lee Coburn, 8915 Sw Center St, Tigard, OR 97223-6307 Ph: (503) 726-3690 | Crystal Lee Coburn, 8915 Sw Center St, Tigard, OR 97223-6307 Ph: (503) 726-3690 |
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