MISS KELSEY CORRINE COFFEY (NPI# 1548407646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548407646 |
| Entity Type | Individual |
| Full Name | MISS KELSEY CORRINE COFFEY |
| Practice Address |
1500 Ne Irving St Suite 250 Portland OR 97232-2243 |
| Mailing Address |
16272 Se Lillian Ct Milwaukie OR 97267-5344 |
| Practice Telephone | 5032334356 |
| Mailing Telephone | 5033811925 |
| Enumeration Date | 2009-01-11 |
| Last Update Date | 2009-01-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162855 | Kelsey Coffey | Massage Therapist | 2400 Niles Cortland Rd Se Ste 5, Warren, OH 44484-3869 | 2020-10-19 |
| Street Address |
1500 NE IRVING ST SUITE 250 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232-2243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952451841 | Andrew Todd Mcwilliams | Counselor | 1500 Ne Irving St, 250, Portland, OR 97232-2243 | 2007-01-11 |
| 1609230168 | Anita Loving | Peer Specialist | 1500 Ne Irving St, 250, Portland, OR 97232-2243 | 2016-04-11 |
| 1518207661 | Robert Christopher Goble | Social Worker | 1500 Ne Irving St, Suite 200, Portland, OR 97232-2243 | 2013-02-27 |
| 1083954218 | Martha M Robers | Social Worker | 1500 Ne Irving St, Suite 200, Portland, OR 97232-2243 | 2013-02-25 |
| 1902155583 | Keysha Rae Kendall | Student in an Organized Health Care Education/Training Program | 1500 Ne Irving St, Suite 250, Portland, OR 97232 | 2012-08-29 |
| 1346527694 | Kristin Warden Doherty | Social Worker | 1500 Ne Irving St, Suite 250, Portland, OR 97232-2243 | 2011-11-14 |
| 1922385095 | Laura C Berger | Social Worker | 1500 Ne Irving St, Suite 250, Portland, OR 97232-2243 | 2011-11-03 |
| 1164705257 | Kelsey Stone | Case Manager/Care Coordinator | 1500 Ne Irving St, Suite 250, Portland, OR 97232-2243 | 2011-09-24 |
| 1316220916 | Grace Huang | Counselor | 1500 Ne Irving St, Suite 250, Portland, OR 97232-2243 | 2011-09-21 |
| 1285916270 | Elizabeth Brown | Student in an Organized Health Care Education/Training Program | 1500 Ne Irving St, Suite 250, Portland, OR 97232-2243 | 2011-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
| 1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
| 1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
| 1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
| 1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
| 1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
| Find all providers in zip 97232 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821205246 | Gail Renee Wilson | Substance Abuse Rehabilitation Facility | 2614 Se 115th Ave Apt 2, Portland, OR 97266-1176 | 2007-05-16 |
| 1396186607 | Richard Ivan Vaughan | Substance Abuse Rehabilitation Facility | 4310 Ne Killingsworth St, Portland, OR 97208-3007 | 2013-07-15 |
| 1689924722 | Depaul Treatment Center | Substance Abuse Rehabilitation Facility | 4310 Ne Killingsworth St, Portland, OR 97218-1404 | 2012-09-17 |
| 1417277021 | De Paul Treatment Center | Substance Abuse Rehabilitation Facility | 4310 Ne Killingsworth St, Portland, OR 97218-1404 | 2010-06-04 |
| 1346420338 | Depaul Treatment Center | Substance Abuse Rehabilitation Facility | 4310 Ne Killingsworth St, Portland, OR 97218-1404 | 2007-11-07 |
| 1841318581 | Depaul Youth and Family | Substance Abuse Rehabilitation Facility | 4310 Ne Killingsworth St, Portland, OR 97218-1404 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467885145 | Klamath County Juvenile Department | Substance Abuse Rehabilitation Facility | 3331 Vandenberg Rd, Klamath Falls, OR 97603-3730 | 2013-08-16 |
| 1740543297 | Marion County Health Department | Substance Abuse Rehabilitation Facility | 3529 Fisher Rd Ne, Salem, OR 97305 | 2012-06-20 |
| 1972864759 | New Directions Northwest, Inc. | Substance Abuse Rehabilitation Facility | 3700 Midway Drive, Baker City, OR 97814 | 2012-06-07 |
| 1578864641 | Klamath Tribal Health & Family Services | Substance Abuse Rehabilitation Facility | 121 Iowa St., Klamath Falls, OR 97601 | 2010-11-05 |
| 1023322690 | The Northstar Center | Substance Abuse Rehabilitation Facility | 1195 Nw Wall St, Bend, OR 97701-1965 | 2010-08-05 |
| 1811215478 | Rimrock Trails Adolescent Treatment Services | Substance Abuse Rehabilitation Facility | 16360 1st Street, La Pine, OR 97739-0305 | 2010-05-06 |
| 1730362534 | Adapt | Substance Abuse Rehabilitation Facility | 2064 Se Douglas Ave, Roseburg, OR 97470-3713 | 2007-12-14 |
| 1851753123 | Dalana Sewell | Substance Abuse Rehabilitation Facility | 234 W 5th St, Medford, OR 97501-2611 | 2016-03-24 |
| 1225403744 | Looking Glass Community Services - Pathways Boys | Substance Abuse Rehabilitation Facility | 550 River Rd, Eugene, OR 97404-3212 | 2015-12-09 |
| 1265866305 | Hillcrest Youth Correctional Facility-oregon Youth Authority | Substance Abuse Rehabilitation Facility | 2450 Strong Rd Se, Salem, OR 97302-9676 | 2013-08-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.