Individual
CORAL J CATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2120 EXCHANGE ST STE 301, ASTORIA, OR 97103-3364
(503) 325-0241
(503) 861-2043
Mailing address
2120 EXCHANGE ST STE 301, ASTORIA, OR 97103-3364
(503) 325-0241
(503) 861-2043
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30003634
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30003634
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201406323CNS-PP
OR LICENSE
OR
05
—
9631631
—
WA
01
—
AP30003634
STATE LICENCE
WA
Enumeration date
01/30/2007
Last updated
03/07/2023
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