Michael R Coon, LPN

Practice location

Address

808 SW Alder St Suite 300, Portland, OR 97205-3133

Phone

(503) 226-2203

Fax

(503) 223-4231

Mailing address

252 NE Kane Dr APT 19, Gresham, OR 97030-1515

Registered specialties

Registry record

NPI

1003030057

Entity type

Individual

Sex (as registered)

Male

NPI issued

12 Apr 2007

Record last updated

8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.