Individual
SANDRA PATRICIA COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW, PSS
Contact information
Practice address
6200 SE KING RD, PORTLAND, OR 97222-2891
(971) 312-6124
Mailing address
6200 SE KING RD, PORTLAND, OR 97222-2891
(971) 312-6124
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
THW000105047
OR
175T00000X
Peer Specialist
THW000105047
OR
374J00000X
Doula
105047
OR
Other
Enumeration date
09/15/2022
Last updated
11/11/2025
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