NPI 1114306115 · live from the CMS NPI Registry
Sarah Coates, MD
Dermatology in Portland, OR. National Provider Identifier 1114306115, active.
NPI record
| NPI | 1114306115 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 5050 Ne Hoyt St, Suite 540, Portland, OR 97213 |
| Practice phone | 503-215-6600 |
| Mailing address | Po Box 3158, Portland, OR 97208 |
| Enumerated | May 22, 2015 |
| Last updated | June 25, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | A147003 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.