IndividualActive
Coisha Graham
NPI 1740965250 · Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1740965250
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 10008056 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
10230 Se Cherry Blossom Dr
Portland, OR 97216-2821
Phone: (503) 535-1151
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 11568
Portland, OR 97211-0568
Registry dates
- Enumerated
- 2023-06-21
- Last updated
- 2024-03-13
- Certified
- 2024-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.