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NPI Code Detail

MEDICARE: MS. KAREN JEAN COLEMAN LCSW

MEDICARE: MS. KAREN JEAN COLEMAN LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerL11192OR

General Provider Information

NPI Number : 1407284797
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAREN JEAN COLEMAN LCSW
Provider Business Mailing Address
First Line : 1700 SW 257TH AVE
Second Line :
City : TROUTDALE
State : OR
Zip : 97060-1900
Country : US
Telephone Number : 503-669-6800
Fax Number :
Provider Business Practice Location Address
First Line : 1700 SW 257TH AVE
Second Line :
City : TROUTDALE
State : OR
Zip : 97060-1900
Country : US
Telephone Number : 503-669-6800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2013
Last Update Date : 01/14/2025

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Directions to “ MS. KAREN JEAN COLEMAN LCSW” Practice Location

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