Individual
ANGELLA MICHELLE KING COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
10260 SW GREENBURG RD STE 400-569, PORTLAND, OR 97223-5500
(503) 410-3069
(503) 214-8455
Mailing address
10260 SW GREENBURG RD STE 400-569, PORTLAND, OR 97223-5500
(503) 410-3069
(503) 214-8455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201607321RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
201806260N-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201806260NP-PP
OR
Other
Enumeration date
03/21/2017
Last updated
11/09/2023
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