| Doctor Name: | TERESA RENEE COFFEY |
| NPI Number: | 1992048565 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CADC 1 |
| License Number: | |
| Business Practice Address: | 58646 Mcnulty Way Saint Helens, OR - 970516210 |
| Business Phone Number: | 5033975211 |
| Business Fax Number: | 5033975373 |
| Mailing Address: | 601 Nw Harmon Blvd, BEND |
| State: | OR |
| Postal Code: | 977033060 |
| Phone Number: | 5413830844 |
| Fax Number: | 5413830840 |
| NPI Enumeration Date: | 04/02/2013 |
| NPI Last Update Date: | 02/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |