Individual
MS. ANNETTE LEEANN COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GRNA
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 203-2114
Mailing address
16617 SE EAST VIEW CT, PORTLAND, OR 97236-9338
(503) 491-9074
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
L000512CRNA
OR
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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