Provider Demographics
NPI:1114354453
Name:DOGAN-COLES, CLAUDIA S (PA)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:S
Last Name:DOGAN-COLES
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6035 SE MILWAUKIE AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-5344
Mailing Address - Country:US
Mailing Address - Phone:971-258-1120
Mailing Address - Fax:866-309-2838
Practice Address - Street 1:6035 SE MILWAUKIE AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-5344
Practice Address - Country:US
Practice Address - Phone:971-258-1120
Practice Address - Fax:866-309-2838
Is Sole Proprietor?:No
Enumeration Date:2013-10-01
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORPA170199363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1114354453Medicaid
WI1114354453Medicaid