Individual
MRS. WANETA COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8517 NE RUSSELL ST UNIT A, PORTLAND, OR 97220-5487
(503) 253-8212
Mailing address
8517 NE RUSSELL ST UNIT A, PORTLAND, OR 97220-5487
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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