Individual
MS. NANCY COBURN RICH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN MSN PMHNP ARNP
Contact information
Practice address
5130 SE 34TH AVE, PORTLAND, OR 97202
(503) 231-4581
(503) 239-3897
Mailing address
PO BOX 82091, PORTLAND, OR 97282-0091
(503) 231-4581
(503) 239-3897
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
AP30005557
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
084060674N6
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079140
—
OR
Enumeration date
01/26/2006
Last updated
09/11/2025
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