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CRYSTAL LEE COBURN
NPI 1366099004
Peer Specialist in Tigard, OR

Active since August 19, 2019
8915 SW CENTER ST, TIGARD, OR 97223(503) 726-3690 Get Directions Write a Review

NPPES record last updated: March 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2020, Aug 19, 2019 (2 updates tracked since 2019).

About Crystal Lee Coburn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL LEE COBURN (NPI 1366099004) is an individual peer specialist in Tigard, Oregon and active in the NPI registry since August 2019. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1366099004
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameCRYSTAL LEE COBURN
Location Address8915 SW CENTER STTigard, OR 97223-6307
Mailing Address8915 Sw Center StTigard, OR 97223-6307 · (503) 726-3690
Phone(503) 726-3690
Sole ProprietorNo
Enumeration DateAugust 19, 2019
Last NPPES UpdateMarch 17, 20202 updates tracked since enumeration
NPPES CertifiedMarch 17, 2020
✔ NPI 1366099004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
8915 SW CENTER ST, Tigard, OR 97223
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Secondary Practice Location 1

Location 1805 SE 151st AvePortland, OR 97233-2916 · Phone (971) 271-7270

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW HARHAI
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (503) 726-3740
BRIANNA UILANI KAALAKEA
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (503) 726-3690
FLETCHER NASH CRM,THW
Peer Specialist
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (037) 263-6905
MISS SHEILA MIRANDA
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (503) 726-3690
JOHN PATRICK CATE
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (503) 726-3690
JULIA ADAMS-OPPERMAN
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (503) 726-3690
CORBIN GRONVOLD
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (503) 726-3740
TASHINA LOUISE HENDON
Counselor (Mental Health)
8915 SW CENTER ST
TIGARD, OR 97223
Washington County (503) 726-3740

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Coburn's NPI number?

The NPI number for Crystal Coburn is 1366099004. It was assigned to this individual provider in the NPPES registry on August 19, 2019.

Where is Crystal Coburn located?

Crystal Coburn practices at 8915 SW Center St, Tigard, OR 97223. The listed phone number is (503) 726-3690.

What is Crystal Coburn's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Crystal Coburn was last updated on March 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.