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Individual

KRISTI M COLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
12670 NW BARNES RD STE 100, PORTLAND, OR 97229-9001
(503) 648-9565
(503) 648-1282
Mailing address
12670 NW BARNES RD STE 100, PORTLAND, OR 97229-9001
(503) 648-9565
(036) 481-2825

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD152275
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500648649
OR
Enumeration date
04/27/2009
Last updated
01/10/2025
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