Individual provider · Type 1 NPI

Coisha Gabrielle Graham

Nurse Practitioner · Portland, OR

NPI number 1740965250 Active

Practice location

10230 SE Cherry Blossom Dr
Portland, OR 97216-2821

Call (503) 535-1151 Map

Mailing address

PO Box 11568
Portland, OR 97211-0568

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X10008056 (OR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1740965250

Coisha Gabrielle Graham's National Provider Identifier is 1740965250, issued on Jun 21, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Portland, OR. The record was last updated on Mar 13, 2024.