Individual
ELISABETH DENISE COATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11991 SE 67TH AVE, MILWAUKIE, OR 97222-2078
(503) 516-1402
Mailing address
11991 SE 67TH AVE, MILWAUKIE, OR 97222-2078
(503) 516-1402
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200841381RN
OR
Other
Enumeration date
04/11/2010
Last updated
04/11/2010
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