MEDICARE: CORAL J CATES ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP30003634	WA
2	363L00000X	Nurse Practitioner	AP30003634	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	201406323CNS-PP	OTHER	OR	OR LICENSE
3	AP30003634	OTHER	WA	STATE LICENCE

General Provider Information

NPI Number	:	1619013000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORAL J CATES ARNP

Provider Business Mailing Address
First Line	:	2120 EXCHANGE ST STE 301
Second Line	:
City	:	ASTORIA
State	:	OR
Zip	:	97103-3364
Country	:	US
Telephone Number	:	503-325-0241
Fax Number	:	503-861-2043

Provider Business Practice Location Address
First Line	:	2120 EXCHANGE ST STE 301
Second Line	:
City	:	ASTORIA
State	:	OR
Zip	:	97103-3364
Country	:	US
Telephone Number	:	503-325-0241
Fax Number	:	503-861-2043

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	03/07/2023

Similar Medicare Providers

1366447641 — STEPHEN A LEONARDO PA-C
Practice Location Address:

2120 EXCHANGE ST STE 302
ASTORIA, OR
97103-3364

Practice Phone: 503-338-2993
Practice Fax: 503-338-2996

1023038858 — COLUMBIA LUTHERAN CHARITIES
Practice Location Address:

2120 EXCHANGE ST STE 203
ASTORIA, OR
97103-3364

Practice Phone: 503-338-6230
Practice Fax: 503-338-6240

1033123450 — MR. DENNIS CROZIER P.A.-C
Practice Location Address:

2120 EXCHANGE ST STE 302
ASTORIA, OR
97103-3364

Practice Phone: 971-310-1000
Practice Fax: 100-000-0000

1467546697 — TIMOTHY SCOTT HOLT PMHNP
Practice Location Address:

2120 EXCHANGE ST STE 301
ASTORIA, OR
97103-3364

Practice Phone: 503-325-0241
Practice Fax: 503-325-8483

1912076431 — SCOTT E ASHLEY MD
Practice Location Address:

2120 EXCHANGE ST , STE 209
ASTORIA, OR
97103-3364

Practice Phone: 503-338-2993
Practice Fax: 503-338-2996

1477622991 — SANGKUN PARK MD
Practice Location Address:

2120 EXCHANGE ST , STE 200
ASTORIA, OR
97103-3364

Practice Phone: 503-325-5360
Practice Fax: 503-325-9373

Directions to “ CORAL J CATES ARNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.