Individual
GLENDA M WATSON-COLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12360 E BURNSIDE ST, PORTLAND, OR 97233-1042
(971) 279-4800
(971) 279-2051
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 224-1044
(503) 621-2235
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201902896RN
OR
Other
Enumeration date
04/27/2006
Last updated
10/05/2021
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