MICHAEL R COON LPN NPI 1003030057

Licensed Practical Nurse in Portland, OR

NPI 1003030057 Individual Male Licensed Practical Nurse

About MICHAEL COON

Michael Coon is a provider established in Portland, Oregon and his medical specialization is licensed practical nurse. The NPI number of Michael Coon is 1003030057 and was assigned on April 2007. The practitioner's primary taxonomy code is 164W00000X. The provider is registered as an individual and his NPI record was last updated 14 years ago.

Michael Coon is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003030057

Provider Name MICHAEL R COON LPN
Provider Location Address808 SW ALDER ST SUITE 300 PORTLAND, OR 97205
Provider Mailing Address252 NE KANE DR APT 19 GRESHAM, OR 97030
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date04-12-2007
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code164W00000X
ClassificationLicensed Practical Nurse
TypeNursing Service Providers
License StateOR
Taxonomy DescriptionAn individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Business Address

MICHAEL R COON LPN
808 SW ALDER ST
SUITE 300
PORTLAND, OR
ZIP 97205
Phone: (503) 226-2203
Fax: (503) 223-4231

Get Directions


Mailing Address

MICHAEL R COON LPN
252 NE KANE DR
APT 19
GRESHAM, OR
ZIP 97030
Phone: (971) 223-5777



Other Providers at the same location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013908508 AAILEEN SUE CARMELL MS
Individual
Counselor (Addiction (Substance Use Disorder))808 SW ALDER ST STE 300
PORTLAND, OR 97205
(503) 226-2203
1164543450MS. BEBE FRANCIS DURRANI MS
Individual
Counselor (Mental Health)808 SW ALDER ST
PORTLAND, OR 97205
(503) 226-2203
1174746473 SONG YANG RN
Individual
Registered Nurse808 SW ALDER ST SUITE 300
PORTLAND, OR 97205
(503) 226-2203
1558584839 ROBYN E DAVIS LPN
Individual
Licensed Practical Nurse808 SW ALDER ST SUITE 300
PORTLAND, OR 97205
(503) 226-2203
1063637304 JOAN L BOOTH CADCII
Individual
Counselor (Addiction (Substance Use Disorder))808 SW ALDER ST STE 300
PORTLAND, OR 97205
(503) 226-2203
1104040518 MONTE C PELTO CADCII
Individual
Counselor (Addiction (Substance Use Disorder))808 SW ALDER ST STE 300
PORTLAND, OR 97205
(503) 226-2203
1902021868 SUSAN L WEST LPN
Individual
Licensed Practical Nurse808 SW ALDER ST STE 300
PORTLAND, OR 97205
(503) 226-2203
1366611204 JOSEPH M PEPPARD SR.
Individual
Counselor (Addiction (Substance Use Disorder))808 SW ALDER ST STE 300
PORTLAND, OR 97205
(503) 226-2203
1871805481MS. MICHELLE LEE PEPPARD NEWTON
Individual
Counselor (Addiction (Substance Use Disorder))808 SW ALDER ST SUITE 300
PORTLAND, OR 97205
(503) 226-2203
1194037614 HOLLY CHRISTINE MARTINEZ CADCII
Individual
Counselor (Addiction (Substance Use Disorder))808 SW ALDER ST SUITE 300
PORTLAND, OR 97205
(503) 226-2203
1497068621MS. DEIDRE SUE MCCASLIN-NOYES LPN
Individual
Licensed Practical Nurse808 SW ALDER ST STE. #300
PORTLAND, OR 97205
(503) 226-2203
1447643556CRC ALLIED HEALTH
Organization
Community/Behavioral Health808 SW ALDER ST STE #300
PORTLAND, OR 97205
(503) 226-2203
1912390956CRC ALLIED HELATH
Organization
Intermediate Care Facility, Mental Illness808 SW ALDER ST #300
PORTLAND, OR 97205
(503) 226-2203

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.