COISHA GABRIELLE GRAHAM

PORTLAND, OR
NPI1740965250
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OR  10008056)
Enumeration Date2023-06-21
Last Update Date2024-03-13
Business Address
COISHA GABRIELLE GRAHAM
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216-2821
Phone number: 503-535-1151
Mailing Address
COISHA GABRIELLE GRAHAM
PO BOX 11568
PORTLAND, OR 97211-0568
Phone number: