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NPI Code Detail

MEDICARE: CAROLE E COTTET NP

MEDICARE: CAROLE E COTTET NP
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
1363L00000XNurse Practitioner000026104 RNOR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396726519
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLE E COTTET NP
Provider Business Mailing Address
First Line : 9701 SW BARNES RD
Second Line : SUITE 150
City : PORTLAND
State : OR
Zip : 97225-6772
Country : US
Telephone Number : 503-734-3535
Fax Number : 503-734-3530
Provider Business Practice Location Address
First Line : 9701 SW BARNES RD
Second Line : SUITE 150
City : PORTLAND
State : OR
Zip : 97225-6772
Country : US
Telephone Number : 503-734-3535
Fax Number : 503-734-3530
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2005
Last Update Date : 03/01/2010

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Directions to “ CAROLE E COTTET NP” Practice Location

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