Coisha Gabrielle Graham
Coisha Gabrielle Graham is a Nurse Practitioner in Portland, Oregon. Qualified in 2022, 4 years ago. Licensed in Oregon.
- Years since qualifying
- 4
- Licensed in
- OR
- In the registry since
- 2023
Practice location Address checks out
10230 SE Cherry Blossom DrPortland, OR 97216-2821
Phone: (503) 535-1151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 10008056 (OR) |
|---|
Record details
| NPI number | 1740965250 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 21, 2023 |
| Last updated in NPPES | March 13, 2024 |
| Certification date | March 13, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 4 on file with Medicare |
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