Organization
CARE TRANSITIONS NORTHWEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLEEN CARNEY RN (CASE MANAGER)
(503) 680-2355
Entity
Organization
Contact information
Practice address
11850 SW GREENBURG RD, PORTLAND, OR 97223-6451
(503) 680-2355
Mailing address
PMB 218 13500 SW PACIFIC HWY, STE 58, TIGARD, OR 97223-4803
(503) 680-2355
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
RN00049377
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163WCO400X
RN CASE MANAGER
WA
01
—
RN00049377
WASHINGTON BOARD OF NURSING
OR
Enumeration date
07/27/2012
Last updated
07/27/2012
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