Individual
RAYLENE DIANNE COLEMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN, ANP
Contact information
Practice address
1040 NW 22ND AVE, SUITE 420, PORTLAND, OR 97210-3057
(503) 229-7647
(503) 229-7105
Mailing address
975 SE SANDY BLVD, SUITE 200, PORTLAND, OR 97214-1308
(503) 963-2846
(503) 963-9505
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
080012268N3
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268958
—
OR
05
—
9633942
—
WA
Enumeration date
08/11/2005
Last updated
07/09/2007
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