Individual
ELIZABETH COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 NE MLK BLVD, PORTLAND, OR 97232-2941
(971) 346-4710
Mailing address
4806 N MISSISSIPPI AVE, PORTLAND, OR 97217-3161
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10037471
OR
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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