Provider Demographics
NPI:1730258963
Name:CONSUMER EMPOWERMENT FISCAL AGENT
Entity type:Organization
Organization Name:CONSUMER EMPOWERMENT FISCAL AGENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:COFFEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-322-9556
Mailing Address - Street 1:999 SW DISK DR STE 102A
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-3060
Mailing Address - Country:US
Mailing Address - Phone:541-322-9556
Mailing Address - Fax:541-322-9778
Practice Address - Street 1:999 SW DISK DR STE 102A
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-3060
Practice Address - Country:US
Practice Address - Phone:541-322-9556
Practice Address - Fax:541-322-9778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0700000605251X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage