Coffey, Teresa Renee

Coffey, Teresa Renee is an individual health care provider with primary practice located at 920 Sw Emkay Dr Ste 104 , Bend OR 97702-1043. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Coffey, Teresa Renee can be contacted via phone (541) 383-0844.

Contact Information

Primary practice address
920 Sw Emkay Dr Ste 104 Bend OR 97702-1043
Phone: (541) 383-0844
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Oregon

Profile Details

NPI number 1992048565
LBN Legal business name Coffey, Teresa Renee
Credentials CADC II
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2013
Last updated Sep 17th, 2021 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992048565 NPPES
Oregon MEDICAID 195164

Popular Providers