Individual
CLIFFORD COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
3930 SE DIVISION ST, PORTLAND, OR 97202-1643
(503) 418-3900
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD24331
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275336
—
OR
Enumeration date
08/03/2006
Last updated
07/16/2007
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