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BRENT FIVECOAT
Nurse Practitioner
NPI: 1578927414IndividualAccepts Medicare
Specialties, Licenses & Credentials
Registered Nurse
Registered Nurse
Code: 163W00000X
102193(OK)
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
201806384RN(OR)RN60908911(WA)AP60909960(WA)201808083NP-PP(OR)
Family Nurse Practitioner
Nurse Practitioner — Family
Code: 363LF0000X
102193(OK)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2016
Contact & Hours
- Address
- 8935 SE POWELL BLVD
PORTLAND, OR 97266 - Phone
- (503) 772-4335
Quick Facts
- NPI
- 1578927414
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 6
- Locations
- 1
- Years in Practice
- 10
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