Skip Navigation

Provider Information for 1356510903



RACHEL CORRINE-CAMPANA COLE D.D.S.

Other Name:   RACHEL CAMPANA
Gender: FEMALE

Individual NPI: 1356510903

Calendar Last Updated: 2015-05-28

Details

Name Value
NPI 1356510903
Enumeration Date 2008-02-28
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 2250 NW FLANDERS ST STE 212
PORTLAND, OR 97210-5410
United States

Phone: 503-248-1114 | Fax: 503-248-1827
View Map External Link
Primary Practice Address 2250 NW FLANDERS ST STE 212
PORTLAND, OR 97210-5410
United States

Phone: 503-248-1114 | Fax: 503-248-1827
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice OR D9409
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location