Raylene Dianne Coleman in Portland - Adult Health
Raylene Dianne Coleman - NPI 1093717852
Raylene Dianne Coleman is a Adult Health in Portland, Oregon. Raylene Dianne Coleman practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Raylene Dianne Coleman is 1093717852. The last update date is 2007-07-09.
Raylene Dianne Coleman's current location address is 975 Se Sandy Blvd, Portland, Oregon. You can contact this provider via phone number 5039632846 and fax number 5039639505. The mailing address for Raylene Dianne Coleman is 975 Se Sandy Blvd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Raylene Dianne Coleman |
|---|---|
| Address | 975 Se Sandy Blvd, Portland, Oregon |
| Phone Number | 5039632846 |
| Fax Number | 5039639505 |
| Sole Proprietor | X |
| Credentials | RN, ANP |
NPI Number Detail
| NPI Number | 1093717852 |
|---|---|
| Provider Enumeration Date | 2005-08-11 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 975 Se Sandy Blvd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972141308 |
| Phone Number | 5039632846 |
| Fax Number | 5039639505 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | 080012268N3 |
|
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9633942 | WA | -- | |
| 268958 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Raylene Dianne Coleman by the Centers for Medicare & Medicaid Services?
The Raylene Dianne Coleman has been assigned the NPI (National Provider Identifier) 1093717852 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Raylene Dianne Coleman?
The Raylene Dianne Coleman is situated at 975 Se Sandy Blvd, in the city of Portland, state of OR, with the zip code 972141308.
What is Raylene Dianne Coleman's area of expertise and its corresponding taxonomy classification?
The Raylene Dianne Coleman's field of specialization is Adult Health, and it falls under the taxonomy code 363La2200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1093717852 to Raylene Dianne Coleman?
The Centers for Medicare & Medicaid Services assigned the 1093717852 to Raylene Dianne Coleman on 2005-08-11.
When was the information related to Raylene Dianne Coleman most recently updated or refreshed?
The details pertaining to the Raylene Dianne Coleman, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.