Healthcare Provider Details

I. General information

NPI: 1578476818
Provider Name (Legal Business Name): VICTORRIA COATS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3455 SW US VETERANS HOSPITAL RD
PORTLAND OR
97239-3076
US

IV. Provider business mailing address

33790 NE KERN CT
SCAPPOOSE OR
97056-3561
US

V. Phone/Fax

Practice location:
  • Phone: 503-494-7725
  • Fax:
Mailing address:
  • Phone: 503-494-7725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number10005002
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: