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Raylene Dianne Coleman, RN,ANP
Adult Health Nurse Practitioner in Portland, Oregon
NPI 1093717852

Raylene Dianne Coleman is an Adult Health Nurse Practitioner based in Portland, OR and is specialized in Adult Health. Raylene Dianne Coleman practices in Portland, OR and has the professional credentials of RN,ANP. The NPI Number for Raylene Dianne Coleman is 1093717852 and holds a License No. 080012268N3 (Oregon).

The current practice location address for Raylene Dianne Coleman is 1040 Nw 22Nd Ave, Portland, OR and can be reached out via phone at 503-229-7647 and via fax at 503-229-7105. You can also correspond with Raylene Dianne Coleman through the mailing address at 975 SE SANDY BLVD, PORTLAND, OR - 97214-1308 (mailing address contact number: 503-963-2846).

Location: 1040 Nw 22Nd Ave, Portland, OR, 97214-1308
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Provider Profile Details
NPI Number
1093717852
Provider Name
Raylene Dianne Coleman
Credential
RN,ANP
Provider Entity Type
Individual
Gender
Female
Address
1040 Nw 22Nd Ave, Portland, OR, 97214-1308
Phone Number
503-229-7647
Fax Number
503-229-7105
Provider Enumeration Date
08/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9633942 05 WA
268958 05 OR
institution
Provider Business Practice Location Address Details
Address
1040 Nw 22Nd Ave
City
State
Zip
97210-3057
Phone Number
503-229-7647
Fax Number
503-229-7105
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Provider Business Mailing Address Details
Address
975 Se Sandy Blvd
City
State
Zip
97214-1308
Phone Number
503-963-2846
Fax Number
503-963-9505
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
080012268N3 (Oregon)
Definition
Definition to come...
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