Individual
RITA JAEL IMAN DEGRATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 SW FIRST AVE STE 1215, PORTLAND, OR 97201-4762
(503) 494-4222
(503) 494-6143
Mailing address
1400 SW 5TH AVE STE 500, PORTLAND, OR 97201-5537
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN60655472
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10011552
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP61352698
WA
Other
Enumeration date
08/24/2022
Last updated
02/19/2026
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