Provider Demographics
NPI:1245858380
Name:COE, VASHON R
Entity type:Individual
Prefix:
First Name:VASHON
Middle Name:R
Last Name:COE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 538
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:WA
Mailing Address - Zip Code:99006-0538
Mailing Address - Country:US
Mailing Address - Phone:509-276-7768
Mailing Address - Fax:833-281-1582
Practice Address - Street 1:11 E H ST STE F
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:WA
Practice Address - Zip Code:99006-7130
Practice Address - Country:US
Practice Address - Phone:509-276-7768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor