Rich, Nancy Coburn

Rich, Nancy Coburn is an individual health care provider with primary practice located at 5130 Se 34Th Ave , Portland OR 97202. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Nursing Service Providers / Registered Nurse is her primary health care specialty. Rich, Nancy Coburn can be contacted via phone (503) 231-4581.

Contact Information

Primary practice address
5130 Se 34Th Ave Portland OR 97202
Phone: (503) 231-4581
Fax: (503) 239-3897
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X AP30005557 Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 084060674N6 Oregon

Profile Details

NPI number 1851361281
LBN Legal business name Rich, Nancy Coburn
Credentials RN MSN PMHNP ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851361281 NPPES
Oregon MEDICAID 079140

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