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Individual

KRISTEN COLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
7477 SE 52ND AVE, PORTLAND, OR 97206-8206
(503) 388-6408
Mailing address
7477 SE 52ND AVE, PORTLAND, OR 97206-8206

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202207547
OR

Other

Enumeration date
06/30/2022
Last updated
06/30/2022
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