| Coisha Gabrielle Graham, | |
|
10230 Se Cherry Blossom Dr, Portland, OR 97216-2821 | |
| (503) 535-1151 | |
| Not Available |
| Full Name | Coisha Gabrielle Graham |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 10230 Se Cherry Blossom Dr, Portland, Oregon |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740965250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 10008056 (Oregon) | Primary |
| Entity Name | Beloved Medical LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548960495 PECOS PAC ID: 9436514882 Enrollment ID: O20230508002267 |
| Mailing Address | Practice Location Address |
|---|---|
| Coisha Gabrielle Graham, Po Box 11568, Portland, OR 97211-0568 Ph: Not Available | Coisha Gabrielle Graham, 10230 Se Cherry Blossom Dr, Portland, OR 97216-2821 Ph: (503) 535-1151 |
Mrs. Anjalee Nix Rowe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-3988 |
Ms. Susan Irene Smith, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239 Phone: 971-202-5500 Fax: 971-202-5555 |
Iva Juric, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239 Phone: 503-494-4808 |
Ms. Jessica A Dudley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-746-1575 |
Summer Morgan Massina, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209 Phone: 503-525-0090 |
Dr. Jeffery Wise, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1220 Sw Morrison St Ste 730, Portland, OR 97205 Phone: 971-354-9242 |
A'lissa Richards, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12121 E Burnside St, Portland, OR 97216 Phone: 971-361-7700 |