Individual
COLEEN M CARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11850 SW GREENBURG RD, PORTLAND, OR 97223-6451
(503) 680-2355
Mailing address
11850 SW GREENBURG RD, PORTLAND, OR 97223-6451
(503) 680-2355
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
081940741RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081040741RN
RN CASE MANAGER
OR
Enumeration date
08/16/2012
Last updated
08/16/2012
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